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- 2 - <br />Latitude (N) an. 5 r, 5 5 4 (5 decimal places) <br />Longitude(W) 108. 41f 73 (5 decimal places) <br />OR <br />Universal Tranverse Mercator (UTM) <br />Example: 201336.3 E NAD27 Zone 13 <br />4398351.2 N <br />0 <br />6. Nameofownerofsubsnrfacerisht sofaffectedland: Colorado State Board of Land Commissioners <br />If 2 or more owners, "refer to Exhibit On. P.O. Box 1094, Craig, CO 81626 <br />7. Name (downer of surface of affected land: (Sam) <br />8. Tyne of mining operation: Surface _a Underground <br />9. Location Information: The center of the area where the majority of mining will occur. <br />COUNTY: MO f fa t <br />PRINCIPAL MERIDIAN (check one): j=1 6th (Colorado) EL 10th (New Mexico) E Ute <br />S 16 <br />T 7 II North II <br />I East. ❑ West <br />SECTION (write number): <br />TOWNSHIP (write number and check direction): <br />RANGE (write number and -check direction):. <br />QUARTER SECTION (check one): ❑ __ ® SW <br />QUARTER/QUARTER SECTION (check one): ❑ NE ' UNW SE SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation): <br />20 Miles west of Maybell. Colorado Elevation - 5.800' <br />South <br />R 98 <br />10. Primary Mine Entrance Location (report in either Latitude/Longitude OR UTM): <br />Latitude/Longitude: <br />Example: (N) 39° 44' 12.98" <br />(W) 104° 59' 3.87" <br />Latitude (N): deg min sec (2 decimal places) <br />Longitude (W): deg min sec (2 decimal places) <br />OR <br />Example: (N) 39.73691° <br />(W) - 104.98449° <br />UTM Datum (specify NAD27, NAD83 or WGS 84) Nad 83 Zone 13 <br />Fasting <br />Northing <br />