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Fees: <br />4.1 Wes li2d(1) Application (affecting lees than 50 acres <br />and extracting lees than 1 million on per year) <br />4.2 New 112d(2) application (larger than above but affecting less <br />than 1.00 acres and extract less than 5 million tone per year <br />4.3 Nes 112d(3) Application (any other operation) <br />4.4 Existing, 112d(1) Amendment Fee <br />4.5 Existing 112d(2) Amendment Fee ) <br />EXistine 112d(3) Amendment Fee �,(rL mwit' .Sf4 <br />wratovt <br />4.7 New 112d(1) Amendment Fee r1 K d(J t~Cr <br />4.8 New 112d(2) Amendment Fee <br />4.9 New 112d(3) Amendment Fee <br />4.10 Conversion Fee <br />Pr ac®oditie(s) to be mined: <br />6. Name of owner of surface of <br />Name of owner of subsurface ri <br />-2- <br />affected land: ,u .a� QS /Lb./ <br />bts of affected land: Ld-S itiO. r <br />If 2 or more owners, refer to Exhibit 0. <br />Type of mining operation: <br />Location Information: the <br />115 <br />PRINCIPAL MBRIDIAN (check one): <br />SECTION (write number): <br />TOWNSHIP (write number and check direction): <br />RANOS (write number and check direction): <br />QUARTER SECTION (check one): <br />QUARTER /QUARTER SECTION (check one): <br />GENERAL DESCRIPTION (miles and direction from <br />of the area where the majority of mining will occur lies <br />COUNTY: C. <br />6th (Colorado) 10th (New Mexico) Ute <br />s <br />T % North South <br />Q�- YL�i17 4 ((. ( <br />Surface <br />R 75 <br />NE _Z NW _ SE _ SW <br />X NH NW SS SW <br />nearest town and approximate elevation): <br />19 V(. ozv',(4 1 <br />$3,500.00 application fee <br />$6,000.00 application fee <br />$3,100.00 application fee <br />$2 ` 000.00 <br />$3,500.00 <br />$6,500.00 <br />$2,500.00 <br />$4 000.00 <br />$7, <br />Underground <br />Last ) West <br />amendment fee <br />amendment fee <br />amendment fee <br />amendment fee <br />amendment fee <br />amendment fee <br />see above application fees <br />