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• III 1111111111111111 <br />999 <br />LIMITED IMPACT OPERATION (110) <br />APPLICATION FORM <br /> <br />FEB 191981 <br />MINED LAND <br />RECLAMATION DIVISION <br />This form contains two mayor parts: (1) General Operation Information and (2) Exhibits <br />A-G. When you submit your application, be sure to include two ~~s~i~~ne~~d copies of the <br />General Operation Information, two copies of Exhibits A-G, and as c~ie ~c for the <br />application fee described under (4) below. To expedite processing, please provide the <br />information in the format and order described in this form. {/Y~~/ ~ 7, ~a7 7 <br />e..eveeexee..vaeeeaeeveeae=eeaeeeexaea¢.e.e.ane~evsaeeeeee-aeb=reeveee=ee==ve~eeeae=e-e-e <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />------ --------- - --------- <br />1. Applicant/Operator Name: co loraao Quarries, Snc. <br />2. Operation Name (Pit, mine or sitename): Hardship Lode <br />3. Application type: Limited Impact Operation (110). <br />4. Application Fee for Permitted Acreage* a permitted acres. <br />(E10 x (affected acres) + E25,00),* <br />Note permitted acreage and application fee and <br />attach a check for this amount when you file. gios.oo application fee. <br />5. Substance(s) to be mined (e.g „ gold/silver/gravel): Rhvolite <br />6. Owners(s) of Substance to be Mined <br />(check applicable box(s)): ® Private ^ State ^ Federal ^ Ind tan <br />7. Owner(s) of Record of Affected Land <br />(check applicable box(s)): ® Private ^ State ^ Federal ^ Indian <br />S. Type of Mining Operation <br />(check applicable box(s)): ® Surface ^ Underground ^ In-situ <br />9. Location Information. The center of the area where the mafority of mining will <br />occur lies irt: <br />COUNTY: CLster <br />PRINCIPLE R c ec one ~ ® 6th (Colorado) ^ 10th (New Mexico)^ Ute <br />TOWNSHIP (write number and check direction): T zz ^ North ^ South <br />' RANGE (write number and check direction): R ~z ^ East ^ West <br />SECTION (write number): a <br />QUARTER SECTION (check one): O NW ^ SE ^ SW <br />QUARTER/QUARTER SECTION (check one): ^ E ^ NW ~ SE ^ SW <br />GENERAL DESCRIPTION: <br />(miles and direction 2.s miles North Westc liffe, CO <br />from nearest town and <br />approximate elevation) a,ooo Feet <br />* If the operator is a unit of State or county government, an application fee is not <br />required. A fraction of an acre must be counted as one acre for fee calculation. <br />