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6. <br />7. <br />8. <br />9. <br />Name otowner of the aubautiam riahta of affected laud: OCJG' 'YIYI e i ~~ <br />Name of owner of the surface of affected land: Q U~-K., -/V ~Y! ~lL. ~~- <br />7.1 Names of the holders of any recorded easements on the affected land: ~X~i Q lhdd_rt~w <br />Tvoe of muiln¢ oceration: ~ Surface Underground In-situ <br />Locatan information: The tearer of the area where the majority of mining will occur: <br />COUNTY: PQ.,^I~_ <br />PRINCIPAL MERIDIAN (check one): _~ 6th (Colorado) 10th (New Mexico) Ute <br />SECTION (write number): S zp 9 ,~ z 4 3 3 <br />TOWNSHIP (write nmmber and check direction): T / North ~ South <br />RANGE (write nmmber and check direction): R ~ 7 East '~ West <br />QUARTER SECTION (check one): NE . NW SE SW <br />QUARTER/QUARTER SECTION (check one): NE NW SE SW <br />GENERAUDESCRD'TION: (the nmmber of miles and direction sum the nearest town and the approximate elevation): i~l m,~ <br />(1~.p1(~, , ~evwFl~sn 1o,1s15U <br />10. Pr®arv future (Post-mmm¢) land ase (check one1: <br />_ Cropland(CR) <br />_ Rangelaad(RL) <br />~. Residential(RS) <br />Developed Water Resomces(WR) <br />11. Primary otesent land trae (check onel: <br />Crophtod(CR) <br /> <br />Residential(RS) <br />Developed WaterResources (WR) <br />Paslareland(PL) _ General Agricultme(GA) <br />Foneshy(FR) _ WikllifeHabitat(WL) <br />.~ Rocreation(RC) X hutustriaVCommercisl(IC) <br />_ Solid WasteDisposal(WD) <br />Pastureland(PL) _ General Agricuhme(GA) <br />Farestry(FR) _ Wildlifellabitat(WL) <br />Recreation(RC) _ IndustriaUCommeroial(1C) <br />MOB (h'IN) <br />12. If this operation will ase designated chemicals, or will result. or preseady has acid mine drainage -yon cannot use this application form. <br />Yon must submit either a 1104 or 112d application form for Designated Mining Operations. In either case, yon mast list a~ acidic or <br />toxio-forming materials, exposed oc distm~bed as a result of the mining operation, and whether the operation will resah m or presently <br />has acid mine drainage: <br />~Q (~,~1Q.~y~1 Ci.c.~~i 0~' QGi G~~7 <br />13. Deacriotion of Amendment or Coaveraion: <br />If you are amending or converting an existing operation, provide a brief narrative describing the proposed chmmge(s): <br />n~G <br />