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-2- <br />4. Fees: <br />4.1 New I I2d(1) Application (affecting less than 50 acres and extracting less than 1 million tons per year) $4,025.00 <br /> application fee <br />4.2 New 112d(2) Application (larger than above but affecting less than 100 acres and extract less <br /> than 5 million tons per year <br /> <br />4.3 <br />New 112d(3) Application (any other operation) $6,900.00 application fee <br />$9,200.00 application fee <br />4.4 Existing I I2d(1) Amendment Fee $2,300.00 amendment fee <br />4.5 Existing 112d(2) Amendment Fee $4,025.00 amendment fee <br />4.6 Existing I I2d(3) Amendment Fee $7,475.00 amendment fee <br />4.7 New I I2d(1) Amendment Fee $2,875.00 amendment fee <br />4.8 New 1 I2d(2) Amendment Fee $4,600.00 amendment fee <br />4.9 New 112d(3) Amendment Fee $8,050.00 amendment fee <br />4.10 Conversion Fee see above application fees <br />5. Primary commoditie(s) to be mined: Gold <br />Silver <br />6. Name of owner of surface of affected land: James M. Clements, and Fairview Land Company <br />7. Name of owner of subsurface rights of affected land: James M. Clements, and Fairview Land Company <br />If 2 or more owners, refer to Exhibit O. <br />8. Type of mining operation: Surface Z Underground <br />9. Location Information: the center of the area where the majority of mining will occur lies in: <br />COUNTY: La Plata <br />PRINCIPAL MERIDIAN (check one): 6th (Colorado?? I Oth (New Mexico) Ute <br />SECTION (write number): S 28 <br />TOWNSHIP (write number and check direction): T 36 FI- North South <br />RANGE (write number and check direction): R 11 East West <br />QUARTER SECTION (check one): NE ? NW SE - SW <br />QUARTER/QUARTER SECTION (check one): NE NW SE W <br />GENERAL DESCRIPTION (miles and direction from nearest town and approximate elevation): <br />4.3 miles North of the town of Hesperus, Colorado approximately 8770 feet above mean sea <br />level <br />10. Primary Mine Entrance Location (report in either Latitude/Longitude OR UTM): <br />Latitude/Longitude: <br />Example: (N) 39° 44' 12.98" <br />(W) 104° 59' 3.87" <br />Latitude (N): deg min sec (2 decimal places) <br />Longitude (W): deg min sec (2 decimal places)