2012-12-07_REVISION - M1997015

• Permit No: M1997015
• IBM Index Class Name: REVISION
• Doc Date: 12/7/2012
• Doc Name: Completeness Docs.
• From: Washington County
• To: DRMS
• Type & Sequence: AM1
• Email Name: MAC
• Media Type: D
• Archive: No

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6. Name of owner of subsurface rights of affected land: Marilyn Elrick
If 2 or more owners, "refer to Exhibit 0".
7. Name of owner of surface of affected land: Marilyn Elrick
8. Type of mining operation: Surface El Underground
9. Location Information: The center of the area where the majority of mining will occur:
PRINCIPAL MERIDIAN (check one):
OR
Example: (N)
(W)
39.73691°
- 104.98449°
Example: 201336.3 E NAD27
4398351.2 N
Zone 13
COUNTY: Washington
6th (Colorado) E 10th (New Mexico) El Ute
s 11
T 2 ri North a South
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) (5 decimal places)
Longitude(W) (5 decimal places)
OR
Universal Tranverse Mercator (UTM)
UTM Datum (specify NAD27, NAD83 or WGS 84)
Easting
Northing
El West
El _ El 111TL rA El sw
El NE ' - 'NW
R ( East
SE SW
GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation):
1 mile East of Platner, 1/4 mile south, Approx. Elevation is 4,324 Ft. U.S.
10. 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 9 sec 13 . 324 (2 decimal places)
Longitude (W): deg 103 min 2 sec 53 749 ( decimal places)
Nad 83 13
Zone