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4. Fees: <br /> 4.1 New 112d(1)Application(affecting less than 50 acres and extracting less than 1 million tons per year) $4,025.00 <br /> application fee <br /> 4.2 New I I2d(2)Application(larger than above but affecting less than 100 acres and extract less <br /> than 5 million tons per year <br /> $6,900.00 application fee <br /> 4.3 New 112d(3)Application(any other operation) $9Z00.00 application fee <br /> 4.4 Existing I I2d(1)Amendment Fee $2,300.00 amendment fee <br /> 4.5 Existing 112d(2)Amendment Fee $4,025.00 amendment fee <br /> 4.6 Existin 112d(3)Amendment Fee $7,475.00 amendment fee <br /> 4.7 New 112d(1)Amendment Fee $2,875.00 amendment fee <br /> 4.8 New I I2d(2)Amendment Fee $4,600.00 amendment fee <br /> 4.9 New I I2d(3)Amendment Fee 8 0$ 50.00 amendment fee <br /> 4.10 Conversion Fee see above application fees <br /> 5. Primary commodities)to be mined: Gold silver <br /> 6. Name of owner of surface of affected land: <br /> 7. Name of owner of subsurface riEhts of affected land: <br /> If 2 or more owners,refer to Exhibit O. <br /> 8. Type of minim operation: Surface Underground <br /> 9. Location Information: the center of the area where the majority of mining will occur lies in: <br /> COUNTY: <br /> PRINCIPAL MERIDIAN(check one): X 6th(Colorado) — I Oth(New Mexico) Ute <br /> SECTION(write number): S 18 <br /> TOWNSHIP(write number and check direction): T 9 North �_South <br /> RANGE(write number and check direction): R Ll East West <br /> QUARTER SECTION(check one): —0_NEFNW ❑SE F SW <br /> QUARTER/QUARTER SECTION(check one): — Z—NE DW Q SE []SW <br /> GENERAL DESCRIPTION(miles and direction from nearest town and approximate elevation): <br /> Mine waste pile clean up throughout Mosquito Creek drainage basin. <br /> 10. Primary Mine Entrance Location(report in either Latitude/Longitude OR UTM): <br /> Latitude/Longitude: <br /> Example: (N) 390 44' 12.98" <br /> (W) 104° 59' 3.87" <br /> Latitude(N): deg 39 min 16 sec 21 64 (2 decimal places) <br /> Longitude(W): deg 10 min 08 sec 50 64 (2 decimal places) <br /> 2 <br />