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•. <br />~ III IIIIIIIIIIIII III ~~~ <br />~~ J,s ~ ~ ~~ y~ <br />+r'n n 1~3E1 . <br />LIMITED IMPACT OPERATION (110) bS;J+1Ec7 LAP.'D <br />APPLICATION FORM (?.G! ~lb@AT!CU nJ~~~S" '11 <br />form contains two major parts: (1) General Operation Information and (2) Exhibits <br />When you submit your application, be sure to include two signed copies of the <br />ai Operation Information, two copies of Exhibits A-G, and a- c e k for the <br />cation fee described under (4) below. To expedite processing, please provide the <br />motion in the format and order described in this form. ~~ Q,~_ dil rd c >;»c.- <br />GENERAL OPERATION INFORMATION ~ ~ /a5 85 <br />Type or print clearly, in the space provided, all information described below. <br />Applicant/Operator Name: Colorado Mining and Smelting, Inc. <br />Operation Name (Pit, mine or site name): Stillson Patch Placer <br />Application type: Limited Impact Operation (110). <br />Application Fee (310 x (affected acres) + E25.00).* 10 affected acres. <br />Note affected acreage and application fee and <br />attach a check for this amount when you file. 125.00 application fee. <br />Substance(s) to be mined (e. g., gold/silver/gravel): cold <br />Owners(s) of Substance to be Mined <br />(check applicable bax(s)): ~ Private ^ State ^ Federal p Indian <br />Owner(s) of Record of Affected Land <br />(check applicable box(s)): ® Private ^ State ^ Federal ^ Indian <br />Type of Mining Operation <br />(check applicable box(s)): ® Surface ^ Underground ^ In-situ <br />Location Information. The center of the area where the majority of mining will <br />occur lies in: <br />COUNTY: Summit <br />PRINCIPLE c ec one g 6th (Colorado) 10th (New Mexico) Ute <br />TOWNSHIP (write number and check direction): T 6 ^ North ® South <br />RANGE (write number and check direction): R 77 ^ East ® West <br />SECTION (write number): Thirty-two S 32 <br />QUARTER SECTION (check one): ^~i~ ^ NW ^ SE ® SW <br />QUARTER/QUARTER SECTION (check one): ^ NE © NW ^ SE ^ SW <br />GENERAL DESCRIPTION: <br />(miles dnd direction 1~ miles east cf Breckenridrte, Co. <br />from nearest town and <br />approximate elevation) 10.000 feet <br />[f the operator is a unit of State or county government, an application fee is not <br />ii red. A fraction of an acre must be counted as one acre for fee calculation. <br />