2011-09-14_PERMIT FILE - M2011033

• Permit No: M2011033
• IBM Index Class Name: PERMIT FILE
• Doc Date: 9/14/2011
• Doc Name: Complete and Revised 110c Appl. Form
• From: Harry Corkle Const
• To: DRMS
• Email Name: PSH
• Media Type: D
• Archive: No

PRINCIPAL MERIDIAN (check one):
SECTION (write number):
TOWNSHIP (write number and check direction):
RANGE (write number and check direction):
QUARTER SECTION (check one):
QUARTER/QUARTER SECTION (check one):
Latitude (N): deg min sec
Longitude (W): deg min sec
OR
Example: (N) 39.73691°
(W) - 104.98449°
Latitude (N)
Longitude(W)
OR
Universal Tranverse Mercator (UTM)
Example: 201336.3 E NAD27 Zone 13
4398351.2 N
- 3 -
6th (Colorado)
S 36
T 8.0
R 78.0
_Li_
NE
EJ NE
(5 decimal places)
(5 decimal places)
UTM Datum (specify NAD27, NAD83 or WGS 84) _ NAD83
Fasting 406658.05
Northing 4496977.31
State Land Board
State Land Board
7. Name of owner of the subsurface rights of affected land:
8. Name of owner of the surface of affected land:
9. Type of mining operation: 111 Surface I I Underground
10. Location information: The center of the area where the majority of mining will occur:
COUNTY: Jackson
Ell 10th (New Mexico) 1=1 Ute
North
East
NW
11. Primary Mine Entrance Location (report in either Latitude/Longitude OR UTM):
Latitude/Longitude:
Example: (N) 39° 44' 12.98"
(W) 104° 59' 3.87"
(2 decimal places)
(2 decimal places)
In -situ
_ South
West
l a"` 1
LI SE
[7,
NW EJ SE Ci SW
SW
GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation):
South of Walden on State Highway 14, 13 miles
13
Zone