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7. Name of owner of the subsurface riehts of affected laud <br />8. Name of owner of the surface of affeMed land: V. Palll MOltZ <br />9. TVDe of minine operation: _~, Surface Underground In-situ <br />10. Location information: The center of the area where the majority of mining will occur: <br />COUNTY: Chaffee <br />PRINCIPAL MERIDIAN (check one): ~_ 6th (Colorado) 10th (New Mexico) Ute <br />SECTION (write number): S 2.7 <br />TOWNSHIP (write number and check direction): T l~ North X South <br />RANGE (write number and check direction): R ]$_ East X West <br />QUARTER SECTION (check one): NE x NW SE SW <br />QUARTER/QUARTERSEOTION (check one): x NE NW SE SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation): <br />2-R m;lPS south east of Buena Vista, Co Elevation 7840 ft <br />l 1. Primary Mine Entrance Location (report in either Latitude/Longitude or UTM): <br />Latltude/Loeeitude <br />Latitude (N): deg 38 min 80 sec 55 OR Latitude (N) (Sdedtrnl <br />places) <br />Longitude (W): deg -1(lh min~~ sec~_ Longimde(W) (S decimal places) <br />Universal Tranverse Mercator (UTM) <br />UTMDatum (specify NAD27, NAD83 or WGS 84) Zone <br />Northing <br />Easting <br />12. Primary future (Post-mininel land use (check one <br />Cropland(CR) g Pastureland(PL) _ General Agricultme(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 />13. Primary present land use (check one <br />Cropland(CR) ~ Pastureland(PL) _ General Agriculture(GA) <br />_ Rangeland(RL) _ Forestry(FR) _ WildlifeHabitat(WL) <br />_ Residential(RS) _ Recreation(RC) _ IndustriaVCommercial(IC) <br />_ Developed Water Resources (WR) _ Mining (MN) <br />14. If this operation will use designated chemicals, or will result, or presently has acid mine drainage -you cannot use this application <br />form. You must submit either a 110d or I12d application form for Designated Mining Operations. In either case, you must list any <br />acidic or toxic-forming materials, exposed or disturbed as a result of the mining operation, and whether the operation will result in or <br />presently has acid mine drainage: <br />