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~ • ~~ 6. Name of owner of the subsurface rights of affected land: Homer Monks Construction, Inc. 7. Name of owner of the surface of affected land: Homer Monks CoristruCtion, InC. 7.1 Names of the holders of any recorded easements on the affected land: N/A 8. R e of mining operation: X Surface Underground In-situ 9. Location information: The center of the area where the majority of mining will occur: COUNTY: Elbert PRINCIPAL MERIDIAN (check one): X 6th (Colorado) 10th (New Mexico) Ute SECTION (write number): S 29 TOWNSHIP (write number and check direction): T 9 North x South RANGE (write number and check direction): R 57 East X West QUARTER SECTION (check one): NE NW X SE SW QUARTER/QUARTER SECTION (check one): NE NW SE X SW GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation): 6 miles southeast of Limon, North of Hiqhway 24 elevation 5720 10. Pr++~ ~ti future fPOSt~miainc) land use (check one): Cropland(CR) Pastureland(PL) General Agri culture(GA) ~ Rangeland(RL) Forestry(FR) Wildlife Habitat(WL) _ Residential(RS) Recreation(RC) Industrial/Commercial(IC) _ Developed Water Resources(WR) Solid Waste Disposal(WD) 11. Pr++ •~+v present land use (check one): Cropland(CR) Pastureland(PL1 General Agriculture(GA) ~- Rangeland(RL) Forestry(FR) Wildlife Habitat(WL) Residential(RSl Recreation(RC) Industrial/Commercial(IC) Developed Water Resources (WR) Mining (MN) 12. If this operation will use designated chemicals, or will result, or presently has acid mine drainage - you cannot use this application form. You must submit either a 110d or 112d application form for Designated Mining Operations. In either case, you must list any acidic or toxic-forming materials, exposed or disturbed as a result of the mining operation, and whether the operation will result in or presently has acid mine drainage: There will be no acid or toxic-forming materials used, exposed or disturbed as a result of this mining operation. Materials involved are sand and gravel which are basically chemically inert. 13. Description of Amendment or Conversion: If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s):