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<br />-a- <br /> <br />6. Name of owner of the subsurface riohts of affected land: (~d1/ALD ~ 9ND ~R!!./CES C L(//1L/~ <br />7. Name of owner of the surface of affected land: ~ON9LD ~•ANO l~llLJ//G£S ~+ ~/LLtAiYI,S', <br />8. Tune of minino ooeration: ~ Surface IInderground In-situ <br />9. Location information. The center of the area where the majority of mining will occur: <br />coIIrrrY: r7'ACKgDe~/ <br />PRINCIPAL MERIDIAN (check one): ,~ 6th (Colorado) 10th (New Hexico) IIte <br />SECTION (write cumber): <br />TOWNSHIP (write number and check direction): <br />RANGE (write number and check direction): <br />QDARTER SECTION (check one): <br />QQARTER/QIIARTER SECTION (check one): <br />S 1~ <br />T~ _~, X North South <br />R ~_ East ~_ West <br />_NE ~NW SE SW <br />_ NE NW SE ~ SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the <br />approximate elevation): LT f.5 .4Pl~fIOY/iY/llTS't./ TH~PiE~~~YJ1~ /L ES Noah/ ulssr <br />O~ ~AN,~ ! />LOB.ol7t7/w1,x.H A.V ~L£dAT/ON OF A~Ff£'OX~!l9AlrF~~ ~~ DF~r <br />10. Primary future (Post-mininal land use (check one): <br />_ Cropland(CR) Pastureland(PL) General Agriculture(GA} <br />Rangeland(RL) Forestry(FR) Wildlife Habitat(WL) <br />_ Residential(RS) Recreation(RC) IndustrialfCOmmercial(IC) <br />Developed Water Resources(WR) Solid Waste Disposal(WD) <br />11. Primary aresent land use (check one): _ <br />_ Cropland(CR) Pastureland(PL) General Agricu lture(GA) <br />Rangeland(RL) Forestry(FR) Wildlife Habitat(WL) <br />Residential(RS) Recreation(RC) Industrial/Commercial(IC) <br />_ Developed Water Resources (STR) Hining (HN) <br />12. if this operation will use designated chemicals, or will result, or presently has acid <br />mine drainage - you cannot use this application form. You must submit either a 110d or <br />112d application form for Designated Hiaing Operations. In either case, you must list <br />any acidic or toxic-forming materials, exposed or disturbed as a result of the mining <br />operation, and whether the operation will result in or presently has acid mine drainage: <br />N~I-~ <br />13. Deseriotion o£ Amendment or Conoersioa: <br />If you are amending or converting an existing operation, provide a brief narrative describing <br />the proposed change(s): <br />