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<br />p~CE1VED <br />F. p 119'1 <br />/ •. <br />, / <br />999 <br />,vn-vEn t,AND <br />LIMITED IMPACT OPERATION {110) ~~CLAMA~')DN D~V1510N <br />APPLICATION FORM <br />n <br />M <br />// <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 signed copies of the <br />General Operation Information, two copies of Exhibits A-G, and a~ck 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_ ~_C~. ~ _, /)/ ~_ <br />------------------------------------------------------------ <br />------- <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />1. Applicant/Operator Name: Joel Fennern and M.R. Gydesen Heavy Equipment Co. <br />2. Operation Name (Pit, mine or site name): Gold Links Mine <br />3. Application type: Limited Impact Operation (110). <br />4. Application Fee (b10 x (affected acres) + b25.00).* 6.2 ac. affected acres. <br /> Note affected acreage and application fee and <br /> attach a check for this amount when you file. $95.00 application fee. <br />5. Substance(s) to be mined (e. g., gold/silver/gravel): Gold and Silver <br />6. Owners(s) of Substance to be t•lined <br /> (check applicable box(sl): ® Private ^ State I.7 Federal ^ Indian <br />7. Owner(s) of Record of Affected Land <br /> (check applicable box(s)): pXj Private ^ State ~] Federal ^ Indian <br />8. Type of t^,ining Operation <br /> (check applicable box(s)): ^ Surface ~1 Underground ^ In-situ <br />9. Location Information. The center of the area where the majority of mining will <br /> occur lies in: <br /> COUNTY: Gunnison <br /> PP,INCIPLE MER DIAN c ec one 6th (Colorado) XR 10th (New Plexico) Ute <br /> TOllNSHIP (write number and check direction): T 51 ® North ^ South <br /> RANGE (write number and check direction): R 3T ® East ^ IJest <br />SECTION (write number): S 36 <br />QUARTER SECTION (check one): ^ NE ^ NW ^ SE m SW <br />QUARTER/QUARTER SECTION (check one): ^ NE ^ tJW ~1 SE ^ SW <br />GENERAL DESCRIPTION: <br />(miles and direction Approximately 5 Ptiles N.of Ohio City <br />from nearest town and <br />approximate elevation) Approximately 9,600 ft. Elevation . <br />* If the operator is a unit of State or county government, an application fee is not <br />required. A fraction of an acre must be counted as one acre for fee calculation, <br />