_REVISION - M1977451 ‎(7)‎

• Permit No: M1977451
• IBM Index Class Name: Revision
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Type & Sequence: CN1
• Media Type: D
• Archive: No

III IIIIIIIIIIIIIIII ;
AUG
REGULAR (112) PERMIT
• APPLICATION FORM
This form contains two major parts: (1 ) General Operation Information and (2) Exhibits A-P.
When you submit your application, be sure to include four sianed copies of the General
Operation Information, four copies of Exhibits A-P, and a c—FieTfor the application fee
described under (4) below. To expedite processing, Please provide the information in the
format and order described in this form.
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GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, all information described below.
1 . ADplicant/Operator Name: Cotter Corporation
Conversion Application - Permit -
2. Operation Name (Pit, mine or site name) : Limited Impact to Regular Operation
3. Application type: Reaular (112) Permit Operation.
4. Application Fee for Permitted Acreage* 11.3 permitted acre<
($50.00 + $15.00/acre, lst. 50 acres:
$10.00/acre, 2nd. 50 acres: $5.00/acre, 3rd. 50 acres:
$1 .00/acre, any additional acreage:
maximum fee of $2,000.00. )*
Note permitted acreage and application fee and
attach a check for this amount when you file. 230.00 application fey .
• 5. Substance(s) to be mined (e.g. , gold/silver/gravel ) : uranium/vanadium
6. Owners(s) of Substance to be Mined
(check applicable box(s) ) : Private State X Federal India
7. Owner( s) of Record of Affected Land
(cneck applicable box(s) ) : Private State X Federal India
8. Type of Minino Operation
(check applicable box(s) ) : Surface X Underground In-situ
9. Location Information. The center of the area where the majority of minina will occur
lies in:
COUNTY: San Miguel
PRINCIPLE MR c ec one )OW X6 WtAWAg c loth (New Mexico) kft
T014NSHIP (write number and check direction) : T 43 North BW(D K
RANGE (write number and check direction) : R 19 )fXW West
SECTION (write number) - S 18
OUARTER SECTION (check one) : )NW( SE Big(
QUARTER/QUARTER SECTION (check one) : NE UK )SE( )%X
GENERAL DESCRIPTION:
(miles and direction About nine (9) miles west of Slick Rock, Colorado
from nearest town and
approximate elevation) Elevation 7,000 ft.
• * If the operator is a unit of State or county government, an application fee is not
reauired. A fraction of an acre must be counted as one acre for fee calculation.