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Name of owner of the subsurface rights of affected land: <br />7. <br />8. <br />9. Type of mining operation: <br />10. <br />Example: (N) 39.73691° <br />(W) - 104.98449° <br />- 3 - <br />State Land Board <br />State Land Board <br />Name of owner of the surface of affected land: <br />Surface Fl Underground In -situ <br />Location information: The center of the area where the majority of mining will occur: <br />COUNTY: Jackson <br />PRINCIPAL MERIDIAN (check one): 6th (Colorado) El 10th (New Mexico) El Ute <br />SECTION (write number): S 36 <br />TOWNSHIP (write number and check direction): T 8 . 0 North South <br />RANGE (write number and check direction): R 78 East �/ West <br />QUARTER SECTION (check one): — NE NW ill SE <br />QUARTER/QUARTER SECTION (check one): El NE Fl NW <br />• <br />SE <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation): <br />South of Walden on State Highway 14, 13 miles <br />11. 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 />Latitude (N) (5 decimal places) <br />Longitude(W) (5 decimal places) <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 13 <br />Easting 406658.05 <br />Northing 4496977.31 <br />SW <br />SW <br />