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I2M F ui7 t ;g.,f ^^ "'� APR 13 1992 <br /> ' III III III IIIIIII III LIMITED RECLAMATIONIMPACT OPERATION 110(2)) <br /> PERMIT Mined Land <br /> 999 APPLICATION FORM Renlpmckfinn ne <br /> The application for a Limited Impact Operation Reclamation Permit contains three major <br /> parts: (1 ) the application form; (2) Exhibits A-J; and, (3) the application fee. When <br /> t you submit your application, be sure to include two (2) signed originals of the <br /> application form, two (2) copies of Exhibits A-J , and a check for the application fee <br /> described under (3) below. To expedite processing, please provide the information in <br /> ' the format and order described in this form. <br /> xaaasaaaaaaasaaaaasssaaa...ariaaavaaasaaaaaaaaaaaaaaaaaaaaaaasaaavaavasxsssaaxaasssxxaasx <br /> GENERAL OPERATION INFORMATION <br /> ' Type or print clearly, in the space provided, all information described below. <br /> a aaasaaaa asaaaaaaaassasasasaaaaaaaaaxaaaaaaa a aaaaaasaaaaaaaxaa aavaaaaaaxasasaxaxxxaa-avaa <br /> 1 . Applicant/operator name: Colina Oro M . <br /> ' 1 . 1 Type of organization (corporation, partnership, etc. ) : Corporation <br /> 2. Operation name (pit, mine or site name) : Gold Hill Mill <br /> ' 2.1 I .R.S. Tax ID No. or Social Security No. : 84- 105- 1533 <br /> ' 3. Permitted acreage 3. 5 permitted acres <br /> 3. 1 Application Fee $875.00 application fee <br /> ' 4. Substance(s) to be mined (e.g. , gravel/gold/borrow) : Gold <br /> 5. Name of owner of surface of affected land: Colina Oro Molino <br /> ' 6. Name of owner of subsurface rights of affected land: Colina Oro Molino <br /> t7. Type of mining operation: _ Surface KXUnderground _ In-situ <br /> 8. Location information. The center of the area where the majority of mining will <br /> ' occur lies in: <br /> COUNTY: Boulder <br /> ' PRINCIPAL MERIDIAN (check one) : X 6th (Colorado) loth (New Mexico) Ute <br /> TOWNSHIP (write number and check direction) : T T X North South <br /> RANGE (write number and check direction) : R -7 _ East �_ West <br /> SECTION (write number) : S = <br /> ' QUARTER SECTION (check one) : = NE NW SE _ SW <br /> QUARTER/QUARTER SECTION (check one) : NE X NW _ SE _ SW <br /> GENERAL DESCRIPTION: <br /> ' (miles and direction 112 mile east of Gold Hill . Colorado <br /> from nearest town and <br /> approximate elevation) Elevatict-8800 <br />