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~:~ f1LE <br />:~°~fOR <br />:sac. R z . <br />~, n <br />~: ~~, ~ •, <br />COPY ~:`' ° ~ ` - _ ~'' ° 'z~~` <br />SCANN/NG ~R ~RTTO~ <br />• . ~: . • RECLAMATION PERMIT APPLICATION FORM <br />. a .; <br /><z , <br />CHECK ONE: _ New Application (Rule 1.4.5) <br />. Permit # M-_] Z___-3 7 g -CMS <br />RECEI~/ED ~,° r'~` <br />f~~ '.. 2 <br />'APR ~~ 9 2003 ~~;.. ~:. <br />Givisidn of Minerals and Geolasy <br />R Amendment Application (Rule 1.10) _ Conversion Application (Rule 1.11) <br />(provide for amendments and conversions of existing permits) <br />1Le application for a Regular Operation Reclamation Pemdt contains three major parts: (1) the application form; (2) Exhibits A S, Geotechnical Stabiity Exhibit and <br />Addendum 1; and, (3) the application fee. When you submit your application, be sure W include one (1) completed, signed and noranud gray original and four (4) <br />copies of the completed application font, five (5) copies of Exhtbits A-S and the Geotechnical Stability Exhibit. and Addendum 1, and a check for fhe application <br />fee described under Section 4 below. Exhr3its should NOT be bound or is a 3-ring binder; maps should be folded to 8 2" X 11" or 8 2" X 14" siu. To expedite <br />processing, please provide the information in the format and order describedm this form. <br />GENERAL OPERATION INFORMATION <br />" Type or print clearly, In the space provided, eil information described below. <br />1. App6cantJoperatorname: , unny_side Gold Cor~oLation <br />2.1 Type of organizaflon (corporation, partnership, etc:): ° Corporation <br />1.2 LR.S.TaxLD.No.: _98-007]882 <br />2. Operation name (pit, mine or site name): Rnnn~rs~d~km)jd....irine <br />3. Permitted acreage (new or existing site): 2 3 6.21 ' permitted acres <br />3.1 Change in acreage (+ or -) 0 acres <br />3.2 Total acreage in Permit azea 2 3 6.21 acres <br />4. Fees: <br />4.1 New Applicafion ' S 1.875.00 applhcaflon fee <br />4.2 New Quarry Application I 2 32 quarry application <br />4.3 Milling Application (Non-DMO) ~ $3.100.00 milling application <br />4.4 - Amendment Fee ~ $1.550.00 atnendment fee <br />4.5 Conversion to 112 operation (set by statute) 1 5 0.00 conversion fee <br />5. Primary commoditie(s) to be mined: NA' Reclamation Only <br />6. Name of owner of surface of affected land: See Exhibit 0 <br />7. Name of owner of subsurface rights of affected land: See Exhibit 0 (same as surface rights) <br />If 2 or more owners, refer to Exhibit O. <br />8. Type of mining operation: Surface ReClamatiimmergrotind In-situ <br />9. Location Information: the center of the azea where the majority of mining will occur lies in: <br />COUNTY: San Juan County <br />PRINCIPAL MERIDIAN (check one): _ 6th (Colorado) X 10th (New Mexico) _ Ute <br />SECTION(wri[enumber): ProtractedS_16 <br />TOWNSHIP (write number and check dtrection): T ~2` _~ North South <br />RANGE (write number and check duection): R ,Z_ _ East ~ _ West <br />QUARTER SECTION (check one): _ NE _ NW _ SE ~._ SW <br />QUARTER/QUARTERSECT~ON (check one): , NE _ NW ~ SE SW <br />GENERAL DESCRIP'T'ION (miles and direction from nearest town and approximate elevation): App ox ' ma y 6. 2 mi . <br />NNF, of S; lver+'on, C(~ at•1.(L, SOO fPPY Pl P[TA 1-l f1T1 <br />