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09104/2009 14:53 9702475104 DMG DURANGO OFFICE PAGE 07116 <br />2 <br />6. Name. of Donner of the s'ubj;dace is of aftted Iand: l 1709 <br />7. Name of owner al the surface of ffoed land: ?- <br />8. Tope of ntinlne aneration: Surface Underground In-situ <br />9. won in xl4iaatio : The center of the area where the majority of mining will. occur: <br />COUNTY: Aa(,*t4LEn-A= <br />PRINCIPAL NERIDIAN (check one): 6th (Colorado) 10th (New Mcxico) tltc <br />SECTION (write number): S <br />TOWNSHIP (write number and check direction): '>~ __,___ North S outlet <br />RANGE (write number and check direction): R „ East !/ West <br />QUARTER SECTION (check one): NE NW - SE SW <br />QUARTERIQUARTER SECTION (check one): NE NW t/ SE SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation): Lo ? <br />IF 'a OIAMN-l 0,1 1 lei) <br />10. EdgMa M .M0 M051-tildAyl M use (check one).: <br />Cropland(CR) .Pastureland(PL) _ _,rG?eneral Agriculture(GA) <br />Rangeiand(Rl,) i Forestry(FR) t? Wildlife H$bitat(WL) (5r=CaJAA7) <br />tt entiai(RS) Recreation(RC) _ Industrial/Commercial(IC) <br />Developed Water R.esources(WR) - Solid Waste Di osal WD <br />11. Prima osesent land tYSe (check ane): <br />cRanzeland(RQ land(CR) ^ Pasturelaad(PL) , General Agriculture(GA) <br />- Forestry(FR) , Wildlife Habitat(WL) <br />Residenti,al.(ItS) Recreation(RC) - Industrial/Comr=cial(IC) <br />- Developed Water Resources (WR) - Mining (MN) <br />12. If this operation will use designated chemicals, or will result, or presentlybas acid mine drainage - you calm use this application form. You t <br />submit either a 1 IOd or 112d application form for Designated Mining Operations. In either case, you must list any acidic or toxic-fora <br />materials, J,sed or disturbed as a result of the nutting operation, and whether the operation will result in or presently has acid mine drain <br />13. Desarintian a Amen w,e t or Canverclan <br />If you are amending or can existing operation, provide a brief narrative describing the proposed change(s):