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1 FROM GREG-LEWICKI FAX N0. 3033465196 Rpr. 26 2006 09:15RM P2 <br />-2- <br />6. Name of mover of subsurface riehta of atYeeted land: M• f~Q(p ~QFT ~~~~ <br />If 2 or mare Owne[S, "zefer Lo 7'skhtbit O'. `' e <br />7. Name of owner of surface of affected lsn~: !n l' Pl*r'C~ <br />8. 1~gof miuinst ooeratton: _~ S4rrface Underground <br />9. Location Information: The ~t of the area where the majority of a'=nom will oxur. <br />COUNTY: MAl3TR.l~S~ <br />PRINCIPAL MERIDIAN (check one): 1i'. 6th (Colorado) r 10th (New Mexico) _ Ute <br />SECTION (write number): S~_ <br />TO WNSFI~ (write urtmber and check directio:t): T "1-I _,. J6 North _., South <br />RANGB (write member and chock daeeuon): R __~~ _ East ~ West <br />QUARTER SECTION (check~c): ~NE ~NW ~' SB ,_-SW <br />QUAR7ER/QUARTERSECIION (check cue): _ NE _ NW ._ SE ~ SW <br />GENERAL AESCRIPTION: (the number of miles cad direction from the nearest town and the approximate elevation): <br />10, 3'ritnarv lYfine Entrance Locatto~q (report in eilherLatitnde/I.ongitude,O~UTiv1): <br />T a,;fi,APrc nn°ifivrn• <br />Example: (I~ 39° 44' 12.98" <br />(VJ) 104° 59' 3.87° <br />Latitude (I~: deg ~_ min 2~_ sec ~~ ~ (z decimal placers) <br />Longitude (Pn: dog 107 min ~~ sec ~ ~ (2 decimal places) <br />OR <br />Example: (l~ 39.73691° <br />(w) -104.98449° <br />Latitude (N) <br />OR <br />Universal Ttaaverye 11.Lr~eator (~ <br />Bxatnple: 201336.3 B NAD27 Zone 13 <br />4398351.2 N <br />UTM Datum (speeifjr NAD27, NAD83 or wGs <br />Fasting <br />Northing . <br />(5 decimal places) <br />(5 decimal places) <br />Zone <br />