2010-09-29_REVISION - M1981185 (12)

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• -2- 4. Fees: 4.1 New 112d(1) Application (affecting less than 50 acres and extracting less than 1 million tons per year) $4.025.00 application fee 4.2 New 112d(2) Application (larger than above but affecting less than 100 acres and extract less than 5 million tons per year $6,900.00 application fee 4.3 New 112d(3) Application (any other operation) $9,200.00 application fee 4.4 Existing 112d(1) Amendment Fee $2,300.00 amendment fee 4.5 Existing I I2d(2) Amendment Fee 4 0$ , 25.00 amendment fee 4.6 Existing 112d(3) Amendment Fee $7,475.00 amendment fee 4.7 New 112d(1) Amendment Fee $2,875.00 amendment fee 4.8 New 112d(2) Amendment Fee $4,600.00 amendment fee 4.9 New 112d(3) Amendment Fee $8,050.00 amendment fee 4.10 Conversion Fee see above application fees 5. Primary commodities) to be mined Gold Silver 6. Name of owner of surface of affected land James M. Clements, and Fairview Land Company 7. Name of owner of subsurface rights of affected land James M. Clements, and Fairview Land Company If 2 or more owners, refer to Exhibit O. 8. Type of mining. operation Surface Underground 9. Location In formation the center of the area where the majority of mining will occur lies in: COUNTY: La Plata PRINCIPAL MERIDIAN (check one): 6th (ColmadooOth (New Mexico) El Ute SECTION (write number): s TOWNSHIP (write number and check direction): RANGE (write number and check direction): QUARTER. SECTION (check one): QUARTER /QUARTER SECTION (check one): T 36 ✓.! North El South R East ✓ West NE 'SE SW _NEEINW SE [SW GENERAL DESCRIPTION (miles and direction from nearest town and approximate elevation): 4.3 miles North of Hesperus, approximately 8770 feet above mean sea level 10. Primary Mine Entrance Location (report in either Latitude/Longitude OR UTM): Latitude/Longitude: Example: (N) 39 44' 12.98" (W) 104° 59' 3.87" Latitude (N): deg min sec (2 decimal places) Longitude (W): deg min sec (2 decimal places)