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~ • III III III III IIII III 999 REGULAR (112) PERMIT APPLICATION FORM ~E~EOVED JAN 29 1390 MINED LANp .AMATIOM IVIB!(a7V nd (2) Exhi~its opies of the for the se provide the This form contains two major parts: (1) General Operation Information A-P. When you submit your application, be sure to include four signed ~ General Operation Information, four copies of Exhibits A-P, and aTk application fee described under (4) below. To expedite processing, ple+ information in the format and order described in this form. _________________________________________________________________qq--__-: GENERAL OPERATION INFORMATION JY> ~~ Type or print clearly, in the space provided, all information desci 1. Applicant/Operator Name: Ducommun Business Trus 2. Operation Name (Pit; mine or site name): Alma Plac 3. Application type: Regular (112) Permit Operation. 4. Application Fee for Permitted Acreage* (550.00 + ;15.00/acre, 1st. 50 acres; E10.00/acre, 2nd. 50 acres; 55.00/acre, 3rd. 50 acres; E7.00/acre, any additional acreage; maximum fee of E2,000.00).* Note permitted acreage and application fee and attach a check for this amount when you file: acres. station"fee. 5. Substance(s) to be mined (e. g:; gold/silver/gravel): Gold PI ter 6. Owners(s) of Substance to be Mined (check applicable box(s)): x Private _ State _ Fe eral Indian 7. Owner(s) of Record of Affected Land (check applicable box(s)): ~ Private _ State _ Fe eral Indian 8. Type of Mining Operation (check applicable box(s)1: x Surface _ Underground In-situ 9. Location Information. The center of the area where the majority o mining will occur lies in: COUNTY: Park PRINCIPLE c ec one 6th (Colorado) TOWNSHIP (write number and check direction): T 9 RANGE (write number and check direction): R ~78'- SECTION (write number): 5 T~ QUARTER SECTION (check one): ~IE- QUARTER/QUARTER SECTION (check one): ~ NE GENERAL DESCRIPTION:. (smiles and direction Adjacent to Alma, from nearest town and approximate elevation) '~d~~ ibed below. rmitted 10th (~ew Mexico) Ute arth x South ast x West NW g SE SW _ NW _ SE = SW * If the operator is a unit of State or county government, an application fee is not required, A fraction of an acre must be counted as one acre for fee ca culation.