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7. <br />8. <br />9. <br />10 <br />- 3 - <br />cq' 5 C,,Ur Fh(.?e5b t t Vc(* 1 Q?J W w?k?.. <br />Name of owner of the subsurface rights of affected land: Jam MN km ?- KDSS <br />S <br />Name of owner of the surface of affected land: 7%1? QbIS d too All <br />Type of mining operation: Surface Underground In-situ <br />Location information: The center of the area where the majority of mining will occur: <br />COUNTY: MLu <br />PRINCIPAL MERIDIAN (check one): IT 6th (Colorado) ® 10th (New Mexico) ® Ute <br />SECTION (write number): S _) <br />TOWNSHIP (write number and check direction): T (0 North South <br />RANGE (write number and check direction): R q0 East West <br />QUARTER SECTION (check one): NE NW SE SW <br />QUARTERIQUARTER SECTION (check one): NE NW SE SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation): <br />mi kip-n, mss} onCO NLA FIV. C, o0 2 <br />11 <br />Primary Mine Entrance Location (report in either Latitude/Longitude OR UTM): <br />Latitude/LonQitude: <br />Example: (1) 39° 44' 12.98" <br />(W) 104° 59' 3.87" <br />Latitude (N): deg min -t-Ai see,' Z, n3 (2 decimal places) <br />Longitude (W): deg it)-7 min JZ? sec 3'9.3k (2 decimal places) <br />OR <br />Example: (N) 39.73691° <br />(W) -104.98449° <br />Latitude (N) (5 decimal places) <br />Longitude(W) (5 decimal places) <br />OR <br />Universal Tranverse Mercator (UTM) <br />Example: 201336.3 E NAD27 Zone 13 <br />4398351.2 N <br />UTM Datum (specify NAD27, NAD83 or WGS 84) _ NAD83 Zone <br />13 <br />Easting <br />Northing