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<br />- 2 - <br />I ~6. Name of owner of [he subsurface riehts of affected Land: [~/]n ~(~^~ h~~L-//L'' , <br />7. Name of owner of the surface of affected land: / /~ / /~ .> ~ ~ L--L~ . <br />8. Tvoe of minin¢ operation: ~ Surface Underground In-situ <br />9. Location information: The center of the azea where the majority of mining will occur: <br />COUNTY: <br />PRINCIPAL MERIDIAN (check one): ~ 6th (Colorado) 10th (New Mexico) Ute <br />SECTION (write number); S <br />TOWNSHIP (write number and check dtrection): T 7~ _ NorthSouth <br />RANGE (write number and check direction): R ~ _ East / Wes[ <br />QUARTER SECTION (check one): _ NE _ NW _~SE V SW <br />QUARTER/QUARTER SECTION (check ane): _ NE _ NW V SE S W <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest [own and the approximate elevation): ~ ~ ~ ~/LF <br />10. Primary future (Post-mininel land use (check one <br />_ Cropland(CR) _ Pasture]and{PL) <br />_ Rangeland(RL) _ Forestry(FR) <br />R sidentia](RS) _ Recreadon(RC) <br />~veloped Water Resources(WR) <br />11. Primary present land use (check one <br />land(CR) Pastureland(PL) <br />Rangeland(RL) _ Forestry(FR) <br />_ Residential(RS) _ Recreation(RC) <br />_ Developed Water Resources (WR) <br />~General Agricul[ure(GA) <br />/WildlifeHabitat(WL) CS~~~/ <br />Industrial/Commercial(IC) <br />_ Solid WasteDisposal(WD) <br />_ General Agriculture(GA) <br />WildlifeHabitat(WL) <br />IndustriaVCommercial(IC) <br />Mining (MN) <br />12. If this operation will use designated chemicals, or will resul4 or presently has acid mine drainage -you cannot use this application form You must <br />submit either a I IOd or 112d application form for Designated Mining Operations. In either case, you must list any acidic or toxic-forming <br />materials, exgosed or disturbed as a result of the mining operatipn, and whether the operation will result in or presently has acid mine drainage: <br />13. Description of Amendment or Conversion: <br />If you are amending or con an existing operation, provide a brief narrative describing the proposed change(s): <br />