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- z - <br />6 <br />7 <br />Name of ovaer of the subsurface riahta of affected load: Jot Docheff & Grand County <br />Name of owner of the surface of affected land: Joe Docheff & Grand County <br />7.1 Names of the holders of any recorded easements on the affected land: <br />8. TyDe of minion operation: _~ Surface Underground In-situ <br />9. Location information: The center of the area where the majo rity of mining will occur: <br />COUNTY: Grand <br />PRINCIPAL MERIDIAN (check one): X 6th (Colorado) ~ 10th (New Mexico) Ute <br />SECTION (write number): S 31 <br />TOWNSHIP (write number and check direction): T ~_ ~ North ~ South <br />RANGE (write number and check direction): R 78 East X West <br />QUARTER SECTION (check one): NE ~ NW SE SW <br />QUARTER/QUARTER SECTION (check one): NE X NW SE SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the <br />approximate elevation): APProx. 3 miles South of Parshal, Co. on County Road 3 <br />Approximate elevaticn 8040 <br />10. Pr+*~~ future (Poet-miaiac) load use (check one): <br />_ Cropland (CR) Pastureland(PL) General Agriculture(GA) <br />~~ Rangeland(RL) Forestry(FR) Wildlife Habitat(WL) <br />Residential(RS) Recreation(RC) Industrial/Commercial(IC) <br />Developed Water Resources(WR) Solid Waste Disposal(WD) <br />11. Primary Dreseat land usa {chock one): <br />Cropland(CR) Pastureland(PL) General Agriculture(GA) <br />X Rangeland(RL) Forestry (FR) _ Wildlife Habitat(WL) <br />Residential(RS) Recreation(RC) IndustriallCommercial(IC) <br />_ Developed Water Resources (WR) Mining (MN) <br />12. If this operation will use designated chemicals, or will result, or presently has acid <br />mine drainage - you cannot use this application form. You must submit either a 110d or <br />112d application form for Designated Mining Operations. In either case, you must list <br />any acidic or toxic-forming materials, exposed or disturbed as a result of the mining <br />operation, and whether the operation will result in or presently has acid mine drainage: <br />No chemicals will be used. <br />13. Description of I~mea~eat or Conversion: <br />If you are amending or converting an existing operation, provide a brief narrative describing <br />the proposer} changefst:--- <br />N/A <br />