2011-11-18_REVISION - M1984040 ‎(3)‎

• Permit No: M1984040
• IBM Index Class Name: Revision
• Doc Date: 11/18/2011
• Doc Name: Completeness Docs.
• From: Larry Chartier
• To: DRMS
• Type & Sequence: AM1
• Media Type: D
• Archive: No

OR
Example: (N) 39.73691°
(W) - 104.98449°
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):
GENERAL DESCRIPTION: (the number of miles
- 3 -
7. Name of owner of the subsurface rights of affected land:
8. Name of owner of the surface of affected land: Larry Chartier
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: Morgan
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"
Latitude (N): deg 40 min 18 sec 33 82.00 (2 decimal places)
Longitude (W): deg 103 min 37 sec 6 13.00 (2 decimal places)
Latitude (N) (5 decimal places)
Longitude(W) (5 decimal places)
OR
Universal Tranverse Mercator (UTM)
Example: 201336.3 E NAD27 Zone 13
4398351.2 N
UTM Datum (specify NAD27, NAD83 or WGS 84) _ NAD83
Easting
Northing
Larry Chartier
6th (Colorado) 10th (New Mexico) El Ute
S 14
T 4 . 0 North _ South
R 56.0 East West —El
NE NW n SE SW
0 NE NW El SE E SW
and direction from the nearest town and the approximate elevation):
In -situ
Zone 13