2012-06-28_PERMIT FILE - M2012032 (14)

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4. 5 6 7 Fees: 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 4.10 -2- New 112d(1) Application (affecting less than 50 acres and extracting less than 1 million tons per year) 4 025.00 application fee New 112d(2) Application (larger than above but affecting less than 100 acres and extract less than 5 million tons per year New I I2d(3) Application (any other operation) Existing I12d(1) Amendment Fee Existing I I2d(2) Amendment Fee Existing I I2d(3) Amendment Fee New 112d(1) Amendment Fee New 112d(2) Amendment Fee New 112d(3) Amendment Fee Conversion Fee Primary commodities) to be mined: Name of owner of surface of affected land: silver gold lead Silver Star Resources Name of owner of subsurface rights of affected land: Silver Star Resources If 2 or more owners, refer to Exhibit O. $6,900.00 application fee $9.200.00 application fee $2,300.00 amendment fee $4,025.00 amendment fee $7,475.00 amendment fee $2,875.00 amendment fee $4,600.00 amendment fee $8,050.00 amendment fee see above application fees 8. Type of mining operation: Surface W1 Underground 9. Location Information: the center of the area where the majority of mining will occur lies in: COUNTY: ou-y PRINCIPAL MERIDIAN (check one): F� 6th (Colorado 0th (New Mexico) 0 Ute SECTION (write number): S 21 TOWNSHIP (write number and check direction): T 43 North South RANGE (write number and check direction): R 8 LE-t ✓ West QUARTER SECTION (check one): NE _ SE_ SW QUARTER/QUARTER SECTION (check one):_ NE DNW 0 SE 0SW GENERAL DESCRIPTION (miles and direction from nearest town and approximate elevation): The site is roughly five miles southwest of Ouray, CO. 10. Primary Mine Entrance Location (report in either Latitude /Longitude OR UTM): Latitude/Longitude: Example: (1) 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)