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• 111111111111 IT (110) RECEIVED <br /> 999 APPLICATION FORM MAY 0 3 1995 <br /> CHECK ONE f C New Application (Rule 1.4) ^Convenion Application (Rule 1.1I) Division of Minerals 6 Geology <br /> Permit N M _,. (provide for conversions of existing permits) <br /> The application for a Limited Impact Designated Mining Operation Reclamation Permit contains three major parts. (1) he <br /> apphratron form, (2) Exhibits A ),any required sections of Exhibit S and Geotechnical Stability Exh biL as required by the <br /> Office,and outlined in Rules 6.1,6 2,6.4.19 and 6.51 and (3) the application fee. When you submit your application,be sure <br /> to include one (1) signed and notanzed onginal and one (1) copy of the application form, two (2) copies of Exhibits A4, <br /> appropriate sections ot'6.4.19 Exlubit S and 6 5(Ueotechmcal Stabtbty Exhibit), as required, and a check for the application <br /> fee described under(4)below. Exhibits should not be bound or m a 3-ring binder•,maps should be folded to 8 1/2"x 1 I"or 8 <br /> 1/2"x 14"size. To expedite processing,please provide the information in the format and order described in this form. <br /> GENERAL OPERATION INFORMATION <br /> Typc�. pun�lcwly,u.am eya. err uifin nWan Jcx.aLcJ Lcluw. <br /> 1. Applicwrdoporatva yr wmpwiy awn,(awuc to be u3W on pcnuit). <br /> Inc. <br /> 1.1 Typenforgwtiraaon(eorponpoNpwtnrntup,cte.): CorpMflen <br /> 12 IRS TY (D Nu.cat Suchd Sccwity Nmnbet 84-10S1557 <br /> 2. Operation name(pit,mine,or site name,): Cold Hill Mill <br /> 3 Pcum(tcd aueallc Gicw a cxisW4t nice). pemlitted tiaras <br /> 3.1 Change m acreage(T or-): acres <br /> 4. Fees: <br /> 4.1 New Application S875.60 application fee <br /> 1.2 Conversion Fee (from I I Od to 110)$875.00 conversion fee (Rule 1.11 2(2)) <br /> 5 Primary commodity(ies)to be mined: Cold Sliver <br /> 6. Name of owner to the subsurface rights of affected land: C.O.M. Inc. <br /> 7 Name of owner to the surface of affected land: C.O.M.Inc. <br /> 8. Type of mining operation: X Surface —Underground _In-situ (Mllllog) <br /> 9 Location information. The center of the area where the majority of mining win occra has in: <br /> COUNTY Boulder <br /> PRINCIPAL MERIDIAN (check one): .X 6th (Coloredo) _ IOth Mew Mexico) Ute <br /> SEG'nON (write number): S 12 <br /> TOWNSHIP (write number and check direction): T 1 X North _South <br /> RANGE (write number and check direction): R f East X West <br /> QUARTER SECTION (check one): NE _X__NW _SE _SW <br /> QUARTERrQUARTER SECTION (check one): _NE NW X SE _SW <br /> GENERAL DESCRIPTION: (miles and direction from nesres(town and appmximate elevation] <br /> $S90 feet OI*vsd o 10 roller west of Boulder.CO. Elevatlon 9530 W 8600 feet <br /> I � <br />