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6. <br />7. <br />-2- <br />Name of owner of the sabsarface riQhta of affected land: d~ L- A-,VA P.M7'2i F~~} F~Ns~ oQjl j <br />Name of owner of the surface of affected land: (~GL ~NQ ~'}TiPl~Lfl F.9,QtiSCl9QQ'7h~ <br />8. Tvce at minim operation: C Surface Undergromd Ia-sim <br />9. Location hdormatbn: The center of the area where the majority of mining wrll occur: <br />COUNTY: ~~~ <br />PRINCIPAL MERIDIAN (check one): X 6th (Colorado) 10th (New Mexico) Ute <br />SECTION (write nrmber): S ~_ <br />TOWNSHIP (write member cad check direction): T ~ <br />~ North X South <br />RANGE (write n~tbet and check direction): DD' <br />R ~ East ~ West <br />QUARTER SECTION (check ome): NE NW _ )C, SE SW <br />QUARTER/QUARTER SECTION (check one): _~ NE NW SE SW <br />GENERAL DESCRIPTION: (the nomber of mtlea and direction from the nearest town and the approximate elevation): <br />~.3 MuES u~s~ . O~ pA~Oi11(Pr ~~~D ' ~i-EV. <br /> <br />10. Primary falnre (Post-mint~.ol land sae (check onel: <br />Crophmd(CR} _ Paslmeland(PL) _ General Agticnlmpe(GA) <br />_ Rangehmd(RL) _ Fareshy(FR) ~. WiluifeHabitat(WL) <br />Residential(RS) _ Recteation(RC) _ Indashial/Commercial(IC) <br />Developed waterRwopnces(WR) _ solidwasteDisposal(WD) <br />11. Prhnarv presets land pse (check onel: <br />Croplmd(CR) _ Pastmeland(PL) _ General Agricultare(GA) <br />_ Rangehmd(RL) _ Farestry(FR) ~ Wild]ffeHabitat(WL) <br />_ Resideutiai(RS) _ Recreation(RC) _ hrdnsltiaUCommercial(IC) <br />Developed Water Resources (WR) _ Mining m'tt`1) <br />12. If this operation will use designated chemicals, or wt71 result, or presently has acid mime drainage -You cannot use this application form. <br />You must submit either a 110d or 112d application form for Designated Mming Operations. In either case, you must list any acidic or <br />toxic-forming materials, exposed or disturbed as a resul of the mining operation, and whether the operation will resuh in or presently <br />has acid mine drainage: <br />I~')r~ . W-hS I~b A ~ifl N(in~ 0 2~t,NA[v~ ~ l,Jcu.. A1~'rr" ~FAt~ A~vY <br />RClllte nQ -rroxte, f=o~~M,~ n>~ IYLMrE~2a,~F 4S ~NI1 u1ltL ti966`R.~Sr9c~ l~1 ANY <br /> ~4C _iD te_ A f2 A i NACc~ <br />13. Description of Amendment or Conversion: <br />L°you are amending or converting an existing operation, Provide a brief nurative descnbing the purposed change(s): <br />