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-2- <br />• Name ofoweerotsubsurlacerfehtsofaffeMOdtaad: <br />If 2 or more owners, "refer to Exhibit O`. <br />7. Name of owner of surface of affected lead: <br />8. 3'voe of miaine ooeraHon: Surface Underground <br />9. Location fnformatton: The c~gt~r of the eras where the majority of mixing will occur: <br />COUNTY: <br />PRINCIPAL MERIDIAN (check one): _ 6th (Colorado) _ IOth (New Mexico) _ Ute <br />SECTION (write number): S <br />TOWNShiIP (write number and check direction): T _ NoRh ____ South <br />RANGE (write number and check drection): R `East ,West <br />QUARTER SECTION (check one): _ NE ____ NW _ SE _ SW <br />QUARTERIQUARTER SECTION (check one): , NE _ NW _ SE _ S W <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation) <br />Prim IVilne Entrance Location (report in eitlrer Latitude/I,ongitude ~ UTM): <br />Latitudellonp;`tude: <br />Example: (I~ 39° 44' 12.98" <br />(VJ) 104° 59' 3.87" <br />Latwde (IJ): deg <br />Longitude (Wj: deg <br />OR <br />Example: (1~ 39.73691° <br />(V/) -104.98449° <br />min sec (2 decimal places) <br />min sec (2 decimal places) <br />Latitude (N) (5 decimal places) <br />Longitude(DV) (5 decimal places) <br />OR <br />j7niversal Tranvetse Mercator (IJ2'Ml <br />Example: 201336.3E NAD27 Zone 13 <br />d398351.2 N <br />UTM Datum (specify NAD27, NAD83 or WGS 84) <br />Fasting <br />• Northing <br />Zone <br />