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-z- 6. Name of owner of the subsurface riohts_of affected land S tats Board of Land Commissioner 7. Name of owner of the surface of affected land: Red Creek Ranch, Inc. 8. Tune of minino oneration: x Surface IInderground In-situ 9. Location information. The center of the area where the majority of mining will occur: COUNTY: Pueblo PRINCIPAL 2ZSERIDIAN (check one): ~ ~`th SECTION (write number): TOWNSHIP (write number and check direction): RANGE (write number and check direction): QOARTER SECTION (check one): QUARTER/QIIARTER SECTION (check one): (Colorado) 10th (New Hexico) Ute s 36 T~ Z ~ North xxSouth R 68 East xx went NE NW x SE x SW ~ NW x ~ x SW GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation): Approximately 2.75 miles east 8 6 miles north of the community of Beulah east of Siloam Road - Elevation 5860 10. Primary future (Post-mininal land nse (check one): _ Cropland(CR) Pastureland(PL) General Agriculture(GA) x~_ Rangeland(RL) Forestry(FR) _ Wildlife Habitat(WL) Residential(RS) Recreation(RC) ~_ Industrial/Commercial(IC) Developed Water Resourcea(WR) Solid Waste Disposal(WD) 11. Primary present land use (check one): _ Cropland(CR) Pasturelaad(PL) General Agriculture(GA) X~ Rangeland(RL) Forestry(FR) _ wildlife Habitat(WL) _ Residential(RS) Recreatioa•(RC) Industrial/COmmercial(IC) Developed water Resources (WR) Hininq (LII7) 12. If this operation will use designated chemicals, or will result, or presently has acid mine drainage - you cannot use this application form. You must submit either a 1104 or 112d application form for Designated lSining Operations. In either case, you must list any acidic or toxic-forming materials, exposed or disturbed as a result of the mining operation, and whether the operation will result in or presently has acid mine drainage: The operation does not have acid mine draina4e, as this is a dry pit operation and none will result in the future. 13. Descrivtion of Amendment or Conversion: If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s): This amendment is to modify boundaries so as to include 2 stockpile areas. which were found to be outside the original permit area. Amended acreacre will remain the same as the oribinal 9.9 A.