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2- 6. Name of owner of the subsurface r~h_ts of affected land 7. Name of owner of the surfaceotaNectedland: Havnes Hereford Ranch 8. 'true of mining ocration: X Surface Underground In-situ 9, Location information: The center of the area where the majority of mining Hill occur: COLNTI': Phillips r PRII~TCIPAL 1\~RIDLAN (check one}: X 6th (Colorado) 10th (New Mexico) Ute SECTION (mite number): S 2 TOi-+NSHIP (:+niie number and check dire.~.ion): T L_ _~_ hTOrth Sontli RA'~GE (write number and check direction): R 45 East X West QUARTER SECTION (check one): NE NW SE X SW QUART'ER/QUARTER SECTION (check one): NE NW SE SW ~GEl~'ERAi. DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation): 10. Prmtarv future (Postrmimm~) land use (check one): Cropland(CR) _ Pastureland(PL) _ General Agticulture(GA) _ Rangeland(RL) ~ Foreshy{FR) ~ Wildlife Habitat(WL) ~_ Residential(RS) _ Recreation(1tC) _ Indnsh~iaVCommercial(IC) _ Developed WaterResources(WR) _ SolidWasteDisposal(WD) 11. 12. Prhnarv mresent land ase (check one _ Cropland(CR) ~ Pas[areland(PL) General Agriculture(GA) Rangeland(RL) _ Forestry(FR) g WikllifeHabitat(WL) _ Residential(RS) _ Recrearion(RC) _ IndnshiaUCommercial(IC) Developed Water Resources (WR) _ Muung (MN) ff this operation will use designated chemicals, or will result, ar presenty has acid mine drainage -you cannot use this application form. You must submit either a 110d or 112d application form for Designated Mining 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: i3. Descrimtion of Amendment or Conversion: If you are mmending or com~erting an existing operation, provide a brief narrative describing the proposed change(s): * There is essentially no vegetation of any kind in this. dry creekbed. The true land use is simply a dry creekbed.