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I~~I~~I~III~II~~I~~ • ~~~~~~® 999 1987 FEB 23 LIMITED IMPACT OPERATION (110) MINED LAND APPLICATION FORM [iECLAId!ATION DIVISION This form contains two mayor parts: (1) General Operation Information and (2) Exhibits A-G. When you submit your application, be sure to include two si~~ne__d copies of the General Operation Information, two copies of Exhibits A-G, and a~~c for the application fee described under (4) below. To expedite processing, please provide the information in the format and order described in this form.~_~]-d,7~ ,Y~~S~p cK,~t~l8 eeo.aeaaaaeaeeaaeaaaaa=aaaaaaeaaaasaeaaaaaaaaaeaaeaaeaaasas_eaaeeae~a-----eaaeavaee_-_aae GENERAL OPERATION INFORMATION Type or print clearly, in the space provided, all information described below. a a a a 3 3aaaa 9 1. Applicant/Operator Name: Colorado Quarries. Inc. 2. Operation Name (Pit, mine or si teiname): Lily Mines 3. Application type: Limited Impact Operation (110). 4. Application Fee for Permitted Acreage* g permitted acres. (E10 x (affected acres) + 525.00).* Note permitted acreage and application fee and attach a check for this amount when you file. __~iis.oo application fee. 5. Substance(s) to be mined (e. g., gold/silver/gravel): wnite Marble 6. Owners(s) of Substance to be M1 ned (check applicable box(s)): ® Private ^ State ^ Federal ^ Indian 7. Owner(s) of Record of Affected Land (check applicable box(s)): ® Private ^ State ^ Federal ^ Indian 8. Type of Mining Operation (check applicable box(s)): ® Surface ^ Underground ^ In-situ 9. Location Information. The center of the area where the majority of mining will occur lies in: COUNTY: Chaffee . PRINCIPLE R D c ec one ~ ^ 6th (Colorado) ^ 10th (New Mexico)^ Ute TOWNSHIP (write number and check direction): T so ® North ^ South ' RANGE (write number and check direction): R 6 ® East ^ Nest SECTION (write number): S zz QUARTER SECTION (check one): ^~1l^ ^ NW ® SE ^ SW QUARTER/QUARTER SECTION (check one): ® NE ^ NW ^ SE ^ SW GENERAL DESCRIPTION: (miles and direction 1.s•Miles North Garfield Colorado from nearest town and approximate elevation) Elevation ii,25o * 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 calculation.