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-2- <br />6. <br />7 <br />8. <br />9. <br />Name of owner of the anbsurface ri¢hts of affected L• <br />Name of owner of the surface of affected {and: <br />Type of mhrin2 operation: / Surface Underground _ <br />Location information: The center of the area where the majority of mining will occm~: <br />covNTY: C a ry e,S ~ S <br />In-situ <br />PRINCIPAL MERIDIAN (check one): 6th (Colorado) ~ 10th (New Mexico) <br />SFiCTION (write number): S I ~ <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 />T ~_ ~_ North <br />R r~ `~ East <br />NE NW <br />NE NW <br />_ Ute <br />South <br />West <br />SE X Sw <br />sE X sw <br />CrENERAL DESCRIPTION: (the number of tm7es and direction from the nearest town and the approximate elevation): 7qo 0 <br />02 ~ S Vn ~1e-S S W fi t'om `~-tr~ ~-Uv~ .U ~~ ect Pte. ~ ; l17 <br />10. Primary fature (Pos~tn{aine} Land ase (check one}: <br />_ Cropland(CR) ~ Pastnreland(PL) _ General Agricalture(GA) <br />Rangeland(RL) _ Forestry(F'R) _ wildlife Habitat(wL) <br />_ Residential(RS) _ Recreation(RC) _ IndustriaVCommercial(IC) <br />_ Developed water Resonrces(wR) - Solid waste Disposal(WD) <br />1 I. Primary present land use (check one): <br />Croptsad(CR) ~ Pastureland(PL) _ General Agricuthtre(GA) <br />" Rangeland(RL) ~ Forestry(FR) _ wildlifeHabitat(WL) <br />Residential(RS) _ Recreation(RC) _ Industrial/Commemisl(IC) <br />_ Developed water Resources (wR) _ Mining (MN) <br />12. If this operation will use designated chemicals, or will result, or presently has acid mine drainage -you c~not use this application fornr. <br />You must submit either a 110d or 112d applica tion form for Designated Mining Operafions. In either case, you must list any acidic or <br />toxic-forming materials, exposed or disturbed as a result of the mixing operation, and whether the operation will result in or presently <br />bas acid mine drainage: <br />r\~\ // <br />~~~ ~ ~ CY ~"G' i S ~ / <br />_T~ ~< 6 r 1 G A~o ~ SC 1 ^ <br />Cil^~ " \0.5 Y'V (~ <br />13. Description of Amendarent or Conversion: <br />If you are amending ar converting an existing operation, provide a brief tra¢ative descn'bing the proposed change(s): <br />