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-3- <br />8. Name of owner of the subsurface rights of affected land: Providence Mining, LLC and Rooky Mountain Gold Innovations, Inc ,Robert M Denis <br />9. Name of owner of the surface of affected land: Providence Mining, LAC and Rocky Mountain Gold Innovations, Inc, Robert M Denis <br />10 LOCATION INFORMATION: The center of the area where the majority of mining will occur: <br />COUNTY: Teller <br />PRINCIPAL MERIDIAN (check one): ID 6th (Colorado) ® 10th (New Mexico) ®Ute <br />SECTION (write number): S 18 <br />TOWNSHIP (write number and check direction): T 15 North R South <br />RANGE (write number and check direction): R 69 East West <br />QUARTER SECTION (check one): = NE NW = SE M SW <br />QUARTER/QUARTER SECTION (check one): M NE NW F1 SE F1 SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation) <br />One -half mile northeast of the town of Cripple Creek at an average elevation of 9,850 feet <br />11. Primary Mine Entrance Location (report in either Latitude /Longitude OR UTM): <br />Latitude /Longitude: <br />Example: (N) 390 44' 12.98" <br />(W) 1040 59' 3.87" <br />Latitude (N): deg 38 min 45 sec 19 20 (2 decimal places) <br />Longitude (W): deg t05 min 09 sec 49 oo (2 decimal places) <br />OR <br />Example: (N) 39.736910 <br />(W) - 104.984490 <br />Latitude (N) (5 decimal places) <br />Longitude (W) - (5 decimal places) <br />OR <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) Nad 83 <br />Easting <br />Northing <br />12. Primar "future (Post-mining)" land use check one): <br />RCropland(CR) <br />Pastureland(PL) <br />Rangeland(RL) <br />M Forestry(FR) <br />RResidential(RS) <br />D Recreation(RC) <br />Developed Water Resources(WR) <br />13. Primary resent" land use check one): <br />Cropland(CR) <br />® Pastureland(PL) <br />Rangeland(RL) <br />Forestry(FR) <br />B <br />Residential(RS) <br />Recreation(RC) <br />Developed Water Resources (WR) <br />Zone 13 <br />General Agriculture(GA) <br />Wildlife Habitat(WL) <br />Industrial /Commercial(IC) <br />Solid Waste Disposal(WD) <br />® General Agriculture(GA) <br />Wildlife Habitat(WL) <br />Industrial/Commercial(IC) <br />✓ Mining (MN) <br />