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<br />3- <br />r <br />7. Name of otwer of the subsurface riehta of affected land: G ~e N ~ ~o~ _ L i/~ L pp <br />8. Name of owner of the surface of afteMed land: Ci/ P„;/ ~o SG E ~ 1 V~ IKk/P <br />9. Tvpe of miniu¢ operation: / Surface Underground In-situ <br />10. Location information: The center of the area where the majority of mining will occur: <br />couNTY: no~~~ 11g . <br />PRINCIPAL MERIDIAN (check one): _ <br />SECTION (write number): <br />TOWNSHIP (write number and check direction): <br />RANGE (write number and check direction): <br />QUARTER SECTION (check one): <br />QUARTER/QUARTER SECTION (check one): <br />6th (Colorado) 10th (New Mexico) Ute <br />S~ <br />T ~_ ~c North South <br />R ~ ~ East __~ West <br />NE X NW SE SW <br />NE _~_ NW SE SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation): <br />i~. `E Yyl X11,- i` S 5 o u ~~ t.u~s ~s -.~rv rn .\ iq.i?USO P 1 at, ati v w 75 5U <br />11. Prmrarv Mine Entrance Location (report in either Latitude/Longitude or UTM): <br />L tkude/I.oaQitude <br />Latitude (I~: deg min sec OR Latitude (1~ 3 Y , ~'I. (5 decimal places) <br />Longinaie(VJ): deg min sec Longitude(W) -IOS (a5 (5 decimal places) <br />Unlveireal Tranverae Mercator (UTMI <br />UTM Datum (specify NAD27, NAD83 or WGS 84) Zone <br />Northing <br />Easting <br />12. Primary future (Post-mininpJ land pse (check one <br />_ Cropland(CR) _ Pastureland(PL) _ General Agriculture(GA) <br />Rangeland(RL) _ Forestry(FR) _ Wildlife Habitat(WL) <br />Residential(RS) _ Recreation(RC) _ IndustriaUCommercial(IC) <br />_ Developed WaterResources(WR) _ SolidWasteDisposal(WD) <br />13. Primary present land nse (check one <br />_ Cropland(CR) _ Pastureland(PL) _ General Agricuitune(GA) <br />.]~, Rangeland(RL) , Fotrshy(FR) _ Wildlife Habitat(WL) <br />_ Residential(RS) _ Recreation(RC) _ lndustriaVCommeroiat(IC) <br />_ Developed Water Resources (WR) _ Mining (MN) <br />14. Tf this operation will use designated chemicals, ar will result, or presently has acid mine drainage -you cannot use this application form. <br />You must submit either a 110d or 112d application form for Designated Mining Operations. In either case, you must list any acidic or <br />toxic-:forming materials, exposed or disturbed as a result of the mirring operation, and whether the operation will result in orpresenttyhas <br />acid mine drainage; <br />!1/d_ .OC/d./E dr "i(O +LI C~ - -Qlrrrn i.un Yy forials ccnA /Vd ,4n d .t~sniF rI ~inq~2.~ I <br />~~2sc„~r: aito~u oil- Q-~e:- lZperrz~lo~cs la~y.i./ . <br />