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REGULAR OPERATION (112) <br /> RECLAMATION PERMIT <br /> APPLICATION FORM <br /> CHECK ONE: New Application (Rule 1.4.5) Amendment Application (Rule 1. ) <br /> Conversion Application (Rule 1.11) <br /> Permit No. M- - (provide for amendments and conversions of existing <br /> permits) <br /> The application for a Regular Operation Reclamation Permit contains three major parts: (1) <br /> the application form; (2) Exhibits A-S and Geotechnical Stability Exbibit; and, (3) the <br /> application fee. When you submit your application, be sure to include one (1) signed and <br /> notarized original and four (4) copies of the application form, five (5) copies of Exhibits <br /> A-R and any required sections of Exhibit S and the Geotechaical Stability Exhibit, and a <br /> check for the application fee described under Section .(16) on Page 3. Exhibits should not <br /> be bound or in a 3-ring binder; maps should be folded to 8 1/2" % 11" or 8 1/2" X 14" size. <br /> To expedite processing, please provide the information in the format and order described <br /> in this form. <br /> ------------------------------- <br /> IR?ERAL OPERATION INFORMATION <br /> Type or print clea <br /> used on permit) : <br /> AmPrAlia_ Tnr <br /> 1.1 Type of organization (corporation, partnership, etc. corporation <br /> 1.2 I.R.S. Tax ID No. or Social Security Number: 8 �— O /O 7 <br /> 2. Operation- name (pit; mine or site name) : • _ Rock School Lease Experimental <br /> Nahcolite Mine Project <br /> 3. Permitted acreage (new or. existing site) 1,319.59 permitted acres <br /> 3.1 Change in acreage (+ or -) acres <br /> 3.2 Total acreage in Permit area 1 ,114 G4 acres <br /> 4. Fees: <br /> 4.1 New Applicati ~. $1,875.00 application fee <br /> 4.2 New Quarry Application $2,325.00 quarry application <br /> 4.3 Milling Application (Non-DMO) $3,100.00 milling application <br /> 4.4 Amendment Fee •` .. $1,55 0.0 0 amendment fee <br /> 4.5 Conversion to 112_ operation (set by statute) $1,500.00 conversion fee <br /> S. Primary commoditie(s)'to be mined: nahcolito <br /> 6. Name of owner.of. surface of affected land: Bureau of Land Manaaement <br /> 7. Name of owner,of subsurface rights of affected land: MirPau of Iand Mana9PmPnt <br /> If 2 or more owners, refer to Exhibit 0. <br /> S. Type of mining operation: ." Surface Underground X In-situ <br /> 9. Location Information the center of the area where the majority of. mining will <br /> occur lies in- <br /> COppZq;.• Rio Blanco, <br /> PRINCIPAL MERIDIAN (check one) : )�_ 6th (Colorado) loth (New Mexico) _ Ute <br /> SECTION (write number) S <br /> TOWNSHIP (write number and check direction) : T North South <br /> RANGE (write number and check direction) : R ',$_ — East West <br /> QUARTER SECTION (check one) - _ NE _NW _ SE _ SW <br /> QUARTER/QUARTER SECTION (check one) : NE NW SE SW <br /> GENERAL DESCRIPTION (miles and direction from nearest town and approximate <br /> elevation) : The site is approximately 22 miles southeast of Ranaely at about <br /> 6500 ft elevation. <br />