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REG*- A (112d) DESIMMTED MINING OPTION JAN ? 01998 <br /> RECLAIRITION PERMIT <br /> APPLICATION FORM <br /> —CHECK ONE: New Application (Rule 1.4.5) ✓ t ApplicationCi i1 R le 1 <br /> Amendment (Rule 1.10) <br /> 10 <br /> Conversion Application (Rule 1.11) <br /> Permit M- 7� - 3 y a (provide for amendments and conversions of existing <br /> permits) <br /> The application for a Regular (112d) Designated Mining Operation Reclamation Permit contains <br /> three major parts: (1) the application form; (2) Exhibits A-S and Geotechnical Stability <br /> Exhibit, as required by the Office, and outlined in Rules 6.1, 6.2, 6.3, 6.4.19, 6.5, and <br /> 8.0; and (3) the application fee. When you submit your application, be sure to include one <br /> (1) sinned and notarized original and one (1) copy of the application form, five (5) copies <br /> of Exhibits A-S and 6.5 (Geotechnical Stability Exhibit) ; and a check for the application fee <br /> described under (4) below. Exhibits should not be bound or in a 3-ring binder; maps should <br /> be folded to 8 1/2" X 11" or 8 1/2" X 14" size. To expedite processing, please provide the <br /> information in the format and order described in this form. R 2c . ZbZ <br /> ---- GENERAL OPERATION INFORMATION <br /> Type or print clearly, in the space provided, all information described below. <br /> 1. Appl or or company name (name to be used on permit) : <br /> 0111AX /holvtWMUM CopiPAAt <br /> 1.1 Type of organization (corporation, partnership, etc.) : G.uRPoRr9TioN <br /> 1.2 I.R.S. Tax ID No. or Social security. Number: -4 13-b11- 8696 <br /> Operation name (pit, mine or site name) : NENDiFaSON MILL <br /> �. Permitted acreage (new or existing site) M5 permittedacres <br /> 3 .1 Change in acreage (+ or -) (amendement or conversion) + S3. 36 acres <br /> 3.2 Total acreage in Permit area 3587, 36 saes <br /> 4. Fees: <br /> 4.1 New 112d(1) Application (affecting less than 50 acres and extract less than 1 <br /> million tons per year) $3,500.00 application fee <br /> 4 .2 New 112d(2) Application (larger than above but affecting less than 100 acres and <br /> extract less than 5 million tons per year) $6,000.00 application fee <br /> 4 .3 New 112d(3) Application (airy other operation) $8,000.00 application fee <br /> 4.4 Existing 112d(1) Amendment $2,000.00 amendment fee <br /> 4.5 Existing 112d(2) Amendment $3,500.00 amendment fee <br /> 4.6 Existing 112d(3) Amendment $6,500.00 amendment fee)( <br /> 4.7 New 112d(1) Amendment $2,500.00 new amendment fee <br /> 4.8 New 112d(2) Amendment S4.000.00 new amendment fee <br /> 4.9 New 112d(3) Amendment $9.000.00 new amendment fee <br /> 4.10 Conversion see above application fees <br /> S. Primary commoditie(s) to be mined: Met rg DEN i TE <br /> 6. Name of owner of subsurface rights of affected land: 5A MF As No 1 <br /> I£ 2 or more owners, refer to Exhibit O. <br /> Name of owner of surface of affected land: 5mc As Nr 1 , U• S. 0. A, Foeasr SEAu, e <br /> Type of mining operation: Surface ✓ Underground <br />