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l <br /> <br />L <br />1 <br /> <br />1 <br />~~~~i~c~ <br />III III III IIIIIII III LIMITED RECLA~ IO PERMIT 11 (2)$3 /~/ 9PP 13 199? <br />999 APPLICATION FORM Mined land <br />RPM?mafirln rl;.: ~; <br />The application fora Limited Impact Operation Reclamation Permit contains three major <br />parts: (1) the application form; (2) Exhibits A-J; and, (3) the application fee. When <br />you submit your application, be sure to include two <2) s_igned originals of the <br />application form, two (2) copies of Exhibits A-J, and a check for the application fee <br />described under (3> below. To expedite processing, please provide the information in <br />the format and order described In this form. <br />aaaaaaaaaaaaaaaa <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />aaa as aaaaasaaa asaaaa saaaaraaaaraaaaraaaaraaaaraataaaaaaaaaa as assaraaaaaaaaaaaaaaaaaa <br />1. Applicant/operator name: Colina Oro Molino, Inc. <br /> 1.1 Type of organization (corporation, partnership, etc.): Corporation <br /> 2. Operation name (pit, mine or site name): Gold Hill Mill <br /> 2.1 I.R.S. Tax ID No. or Social Security No.: <br />' 3. Permitted acreage 3.5 permitted acres <br /> 3.1 Appiication Fee 5875.00 application fee <br />' 4. Substance(s) to be mined (e.g., gravel/gold/borrow): Gold <br /> 5. Name of owner of surface of affected land: Colina Oro Molino <br />' 6. Name of owner of subsurface rights of affected land: Colina Oro Molino <br />' 7. Type of mining operation: _ Surface ~XUnderground _ In-situ <br /> 8. Location information. The center of the area where th e majority of mining will <br /> occur lies in: <br />' COUNTY: Boulder <br /> PRINCIPAL MERIDIAN (check one): X 6th (Coiorad o> 10th (New Mexico) Ute <br /> TOWNSHIP (write number and check direction): T T X North South <br />' RANGE (write number and check di rectlon>: R TI East ~ west <br /> SECTION (write number): - <br />5 ~ <br />' QUARTER SECTION (check one3: <br />QUARTER/QUARTER SECTION (check one>: = NE NW ~ SE <br />NE X NW SE = SW <br />Sw <br /> GENERAL DESCRIPTION: <br /> (miles and direction 1/2 mi1_e east of Gold Hill. Colorado <br /> from nearest town and <br />' approximate elevation) Rleva ia~-8800 <br /> <br />1 <br />