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III IIIIIIIIIIIII III • ~ , <br />LIMITED IMPACT OPERATION (110) ~~ <br />RECLAMATION PERMIT I Il / <br />APPLICATION FORM J l <br />CHECK New Application (Rule 1.4) Conversion Application (Rule 1.11) <br />Permit # M - (provide for conversions of existing permits) <br />The application for a Limited Impact Designated Mining Operation Permit contains <br />three major parts: (1) the application form; (2) Exhibits A-J, any required sections of <br />Exhibit S and Geotechnical Stability Exhibit, as required by the Office, and outlined in <br />Rules 6.1, 6.2, 6.3, 6.4.19 and 6.5; an (3) the application fee. When you submit your <br />application, be sure to include one (1) sicned and notarized original and one (1) copy of the <br />application form, two (2) copies of Exhibits A-J, appropriate sections of 6.4.19 Exhibit S <br />and 6.5 (Geotechnical Stability Exhibit), as required, and a check for the application fee <br />described under (4) below. Exhibits should not be bound or in a 3-ring binder; maps should <br />be folded to 8 yi" X 11" or 8 SS" X 14" size. To expedite processing, please provide the <br />information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />1. Applicant/operator or company name (name to be used on permit): <br />Wricht ~ Preusch Mining. Ltd. <br />1.1 Type of organization (corporation, partnership, etc.): Colorado Corooration <br />1.2 I.R.S. Tax ID No. or Social Security Number: <br />2. Operation name (pit, mine or site name): The Smucaler Mine <br />3. Permitted acreage 9.9 permitted acres <br />3.1 Change in acreage (+ or -) acres <br />4. Fees: <br />4.1 New Application 8875.00 application fee <br />4.2 Conversion Fee (from 110d to 110 7 .0 conversion fee (Rule 1.11.2(2)) <br />5. Primary commoditie(s) to be mined: i ve Lea i c Gold Mineral specimens <br />6. Name of owner to the subsurface rights of affected land: Wright & Preusch Mininc, Led. <br />7. Name of owner o£ surface of affected land: Wricht & Preusch Mininc, Ltd. <br />6. Name of owner of subsurface rights of affected land: Same as Nos. 1 s 7 <br />8. Type of mining operation: Surface X Underground in-situ <br />9. Location information. The ce a of the area where the majority of mining will <br />occur '_ies in: <br />COUNTY: Pitkin <br />PRINCIPAL MERIDIAN (check one): 7 6th (Colorado) 10th (New Mexico) Ute <br />TOWNSHIP (write number and check direction): T 10 North X South <br />RANGE (write number and check direction): R Qg_ East ~c West <br />SECTION (write number): S 7 <br />QUARTER SECTION (check one): W <br />QUARTER/QUARTER SECTION (check one): ~_ NE NW SE SW <br />GENERAL DESCRIPTION: (miles and direction from nearest town and approximate <br />elevation) Northeastern edce of the Town of Aspen and at elevation of 8.050 to <br />8.300 feet <br />10. Correspondence Information: <br />APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br />Contract's Name: Garv A. Wricht. Esc. Title: Sec.-Treas <br />Company Name: Wricht 8 Preusch Mininc. Ltd. <br />Street: 201 North Mill Street. Suite 106 <br />City: Aspen <br />State: Colorado Zip Code: 81611 <br />Area Code: 970 Telephone: 925-5625 <br />