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~. ,, .. <br />4 ., <br />~„V 1 5 1.,.,0 <br />LIMITED IMPACT OPERATION (110) [,..~-~~ ! r,~~ <br />• APPLICATION FORM Rcclam~.:ori ~iv;sion <br />This form contains two major parts: (1) General Operation Information and (2) Exhibits <br />A-G. When you submit your application, be sure to include two ~si~ned copies of the <br />General Operation Information, two Copies of Exhibits A-G, and a c>-ieck for the <br />application fee described under (4) below. To expedite processing, please provide the <br />information in the format and order described in this form. ~.9v._/y_3 /$'3 9U <br />GENERAL OPERATION INFORMATION ~/aS.~L> <br />Type or print clearly, in the space provided, all information described below. <br />1. Applicant/Operator Name: DFC Ceramics, Inc. <br />2, Operation Name (Pit, mine or site name): Stone Citv Mine <br />3. Application type: Limited Impact Operation (110). <br />4, Application Fee for Permitted Acreage* 9.8 permitted acres. <br />(E10 x (affected acres) + E25.00).* <br />Note permitted acreage and application fee and <br />attach a check for this amount when you file.125.00 application fee. <br />5. Substance(s) to be mined (e. g., gold/silver/gravel): Clav <br />Owners(s) of Substance to be Mined <br />(check applicable box(s)): ^ Private ~ State ^ Federal ^ Indian <br />7. Owner(s) of Record of Affected Land <br />(check applicable box(s}): ^ Private (State ~ Federal ^ Indian <br />8. Type of Mining Operation <br />(check applicable box(s)): ~X Surface ^ Underground ^ In-situ <br />9. Location Information. The center of the area where the majority of mining will <br />occur lies in: <br />COUNTY: <br />PRINCIPLE MERIDIAN c ecc one ~X 6th (Colorado) ^ 10th (New Mexico)^ Ute <br />TOWNSHIP (write number and check direction): T lg ^ North M3~( South <br />RANGE (write number and check direction): R 67 ^ East ~X West <br />SECTION (write number): S 36 <br />QUARTER SECTION (check one): ^-ld~ ^ NW ^ SE XM~ SW <br />QUARTER/QUARTER SECTION (check one): ^ NE ~X NW ^ SE ^ SW <br />GENERAL DESCRIPTION: <br />(miles and direction Aooroximately 12 miles nort hwe st of Pueblo <br />from nearest town and <br />approximate elevation) Elevation 5450 <br />* If the operator is a unit of State or county government, an application fee is not <br />r~uired. A fraction of an acre must be counted as one acre for fee calculation, <br />