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/►�- 2 0a S- 002 <br /> It f vl Sloe A19 -01 <br /> 7. Name of owner of the subsurface rights of affected land: <br /> 8. Name of owner of the surface of affected land: 01 <br /> 9. Type of mining operation: _ Surface Underground In-situ <br /> 10. Location information: The center of the area where the majority of mining will occur: ) <br /> COUNTY: <br /> PRINCIPAL MERIDIAN(check one): �th(Colorado) I Oth(New Mexico) Ute <br /> SECTION(write number): ✓S6job <br /> V <br /> TOWNSHIP(write number and check direction): (/T North South <br /> RANGE(write number and check direction): V R East West <br /> QUARTER SECTION(check one): t/ NE NW SE SW <br /> QUARTER/QUARTER SECTION(check one): ✓ ✓ NE NW SE SW <br /> GENERAL S w� S ZU T,3 S es 6 '` <br /> GE DESC TION: (the number of tunes an dtr�lion from e newest town and the approximate elevation): <br /> S �ti srz . J� _ll <br /> Fie W7Z ti 6 :4s .51/ <br /> 11. Primary Mine Entrance Location(report in either LatitudelLongitude or UTM): 3 g, �-� 3.16 <br /> LatitudeF on eitude <br /> D � C <br /> Latitude(Ivy: deg 2 3 r/� min Y� sec f 3.9 OR Latitude(N) Yd&&Kdecimal places) <br /> Longitude(W): deg 1 a� ndn sec 3 Lu agdtLd<vV) 1 decimal places) <br /> Universal Tranverse Mercator MA <br /> COR2wC1' /tiTCRPQ��1'10,� <br /> UTM Datum(specify NAD27,NAD83 or WGS 84) Zone <br /> Northing <br /> Easting <br /> I2. Primary future(Post-mining)land use check one): <br /> Cropland(CR) — Pastureland(PL) — General Agriculture(GA) <br /> Rangeland(RL) _ Forestry(FR) Wildlife Habitat(WL) <br /> _ Residential(RS) — Recreation(RC) — Industrial/Commercial(IC) <br /> Developed Water Resources(WR) — Solid Waste Disposal(WD) <br /> 13. Primary present land use(check one): <br /> Croptand(CR) ` Pastureland(PL) ^ General Agriculture(GA) <br /> Rangeland(RL) — Forestsy(FR) _-_- Wildlife Habitat(WL) <br /> Residential(RS) — Recreation(RC) ,--_ IndustrisUCommcmiat(IC) <br /> Developed Water Resources(WR) ` Mining(W <br /> 14. If this operation will use designated chemicals,or will result'or presently has acid mine drainage-you cannot use this application form. <br /> You must submit either a I 1 Od or I I2d application form for Designated Mining Operations. In either case,you must list any acidic or <br /> toxic-forming materials,exposed or disturbed as a result of the mining operation,and whether the operation will result in or presently has <br /> acid mine drainage: <br /> o) �c <br /> in, 7"lrts o -TC any. h�cef��iuL� hee -. xiovfre� �rhe.y <br /> u) l! be_ KaAQ /ed as des r; bNaC / n �'J�e. ?n; Y7 n , <br />