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ILE COPY fOR SCANNING REGULAR O ERATIONI (112G RECLAMATION PERMTT APPLICATION FORM RECEIVED APR 0 9 2003 ~ Division of Minerals and Geology CHECK ONE: _ New Applica' (Rule 1.4.$) X Amendment Application (Rule 1.10) _ Conversion Application (Rule 1.11) Permit # M-1~-- AM~y/ (provide for amendments and conversions of existing permits) The application for a Regular Operation Reclamation Pemdt contains three major parts: (1) the application form; (2) Exhibits A-S, Geotechnical Stability Exhibit and Addendum I; and, (3) the application fee. When you submit youi apphcation, be sure to include one (1) completed, signed and notarized gray original and four (4) copies of the completed application form, five (5) copies of Exhibits A-S and the Geotechnical Stability Exhibit. and Addendum 1, and a check for the application fee described under Section 4 below. Exhibits should NOT be bound or in a 3-ring border; maps should be folded to 8 2" X 11" or 8 2" X 14" siu. To expedite processing, please provide the infomtation in the fomtat and order described in this form. GENERAL OPERATION INFORMATION Type or print clearly, in the space provided, all information described below. 1. AppGcantloperatorname: Sunnyside Gold Co 1.1 Type of organization (corporation, paztnership, etc.): 1.2 I.R.S. Tax I.D. No.: rporat 2. Operation name (pit, mine or site name): Sty s i dP Mine and Mi 11 3. Permitted acreage (new or existing site): 2 "i 6.21 pemritted acres 3.1 Change in acreage (+ or -) 0 acres 3.2 Total acreage in Permit azea 2 3 6.21 acres 4. Fees: 4.1 New Application $1.875.00 application fee 4.2 New Quarry Application $2.325.00 quarry application 4.3 Milling Applicafion (Non-DMO) $3.100.00 milling application 4.4 Amendment Fee $1.550.00 amendment fee 4.5 Conversion to 112 operation (set by statute) 1.500.00 conversion fee 5. Primary commoditie(s)tobemined: NA Reclamation Only 6. Name of owner of surface of affected land: See Exh lb 1 t 0 Name ofowverofsnbsurfacerightsofatfectedland: See Exhibit 0 (same as surface rights) If 2 or more owners, refer to Exhibit 0. S. Type of mining operation: Surface ReClamatiltliIDlerground In-sim 9. Location Information: the center of the azea where [he majority of mining will occur lies in: COUNTY: San Suan County PRINCIPAL MERIDIAN (check one): _ 6th (Colorado) X 10th (New Mexico) _ Ute SECTION (write number): ProtractedS 16 TOWNSHIP (write number and check direction): T ~l ~ ~ North _ South RANGE (write number and check drection): R L _ East ~ West QUARTER SECTION (check one): _ NE _ NW _ SE ~ S W QUARTERlQUARTERSEOTION (check one): _ NE _ NW ~~ SE SW GENERAL DESCRIPTION (miles and dtrection from nearest town and approximate elevation): Approximately 6 . 2 mi . NA,-F of Ri lyerton, CCLa_t~l, SM facer al avati nn