2015-03-18_REVISION - M2012032 - Laserfiche WebLink

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-2- 4. Fees: 4.1 New 112d(1) Application (affecting less than 50 acres and extracting less than I million tons per year) $4,025.00 application fee 4.2 New 112d(2) Application (larger than above but affecting less than 100 acres and extract less than 5 million tons per year 6_ $ ,900.00 application fee 4.3 New 112d(3) Application (any other operation) S9.200.00 application fee 4.4 Existing 112d(I) Amendment Fee $2.300.00 amendment fee 4.5 Existing I I2d(2) Amendment Fee $4,025.00 amendment fee 4.6 Existing 112d(3) Amendment Fee $7,475.00 amendment fee 4.7 New 112d(1) Amendment Fee $2,875.00' amendment fee 4.8 New 112d(2) Amendment Fee $4,600.00 amendment fee 4.9 New 112d(3) Amendment Fee $8.050.00 amendment fee 4.10 Conversion Fee see above application fees S. Primary commodities) to be mined: silver gold Zinc lead 6. Name of owner of surface of affected land: Fortune Revenue Silver Mines, Inc. 7. Name of owner of subsurface riehts of affected land: Fortune Revenue Silver Mines, Inc. If 2 or more owners, refer to Exhibit O. 8. Type of mining operation: F�_ Surface 21 Underground 9 Location Information: the center of the area where the majority of mining will occur lies in: COUNTY: Ouray PRINCIPAL MERIDIAN (check one): 6th (Coloradoll0th (New Mexico) -0 Ute SECTION (write number): S 2 1 T 43 F1 North 11 R $ East West �NE as _ SW NEE]NW 11 SE 5W TOWNSHIP (write number and check direction): RANGE (write number and check direction): QUARTER SECTION (check one): QUARTER/QUARTER SECTION (check one): GENERAL DESCRIPTION (miles and direction from nearest town and approximate elevation): South The site is approximately 6 miles southwest of the Town of Ouray in Ouray County 10. Primary Mine Entrance Location (report in either LdtitudeJLongitude QR UTM): Latitude/Longitude: Example: (1) 39° 44' 12.98" (W) 104° 59' 3.87" Latitude (N): deg min sec (2 decimal places) Longitude (W): deg min sec (2 decimal places)