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-z- 6. Name of owner of the subsurface rights of affected land:L A~l^/~1 ~ ~FN GA 77 7. Name of owner of the surface of affected land: ~~ Y //I~CL~- ~ T~ i a. Names of the holders of any recorded easements on the affected land: 6. Tvpe of mining operation: 1/ Surface Underground In-situ 9. Location information. The center of the area where the majority of mining will occur: couNTY: I-~UE~FR-ND PRINCIPAL MERIDIAN (check one): ~C 6th (Colorado) 10th (New Mexico) Ute SECTION (write number): S ~_ TOWNSHIP (write number and check direction): T ~~ North ~c South RANGE (write number and check direction): R ~ East _ C~ West QUARTER SECTION (check one): NE NW SE ~ SW QUARTER/QUARTER SECTION (check one): NE ~ NW SE SW GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation) : '~(ARUXIA,tA-TEI.Y ~~ M6(..ES ~O~-er-6 ®~ IJAf~SE'A7QU.P6 RPPROx f^L~VhTILYJ : 7.200 FT. S0. Primarv future (Post-mining) land use (check one): Cropland(CR) Pastureland(PL) General Agriculture(GA) ~Rangeland(RL) Forestry(FR) Wildlife Habitat(WL) _ Residential (RS) Recreation (RC) Industrial/Commercial (IC) Developed Water Resources (WR) Solid Waste Disposal (WD) 11. Primarv present land L=e~ (check one): _ Cropland(CR) _, Pastureland(PL) General Agriculture(GA) Rangeland(RL) Forestry(FR) Wildlife Habitat(WL) . _ Residential(RS) 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 [he operation will result in or presently has acid mine drainage: NINE 13. Deacrintion of Amendment or Conversion: If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s): N~ A-P~t~~c~a~