2014-10-06_GENERAL DOCUMENTS - M2012052

• Permit No: M2012052
• IBM Index Class Name: General Documents
• Doc Date: 10/6/2014
• Doc Name: Correspondence
• From: CC&V
• To: DRMS
• Permit Index Doc Type: General Correspondence
• Email Name: TC1
• Media Type: D
• Archive: No

Cripple Creek & Victor Gold Mining Company v0
A Joint Venture ANGLOGOLD ASHANTI(COLORADO)CORP., Manager �O/� �-1 -
Operations Office . •
P.O. Box 191 100 North 3`d Street
Victor,Colorado
[phone]—Fax Fax[phone] O
�ea�Leade'��
SENT CERTIFIED, RETURN RECEIPT REQUESTED
7014-0150-0000-6082-5922
2 October 2014 RECEIVE[)
Tim Cazier, P.E. OCT 0 0 2014
Environmental Protection Specialist Division of Reclamation,
Colorado Division of Reclamation, Mining and Safety Mining&Safety
1313 Sherman St., Room 215
Denver, CO 80203
Re: Original Signature Pages for Transfer of Approved Mineral Application and Succession
of Permit Application—M-2012-052
Dear Tim,
Per your request, I have enclosed the original signature pages to the documents listed below.
Fully executed, non-original copies of each of these documents were previously submitted to you
on September 22, 2014.
• Financial Warranty: Check for Deposit in State Treasury;
• Affidavit of Authority to Execute Financial Warranty Documents;
• Performance Warranty;
• IRS Form W-9;
• Transfer of Approved Mineral Application and Succession of Permit Applicant, as signed
on behalf of Successor(Cripple Creek&Victor Gold Mining Company); and
• Transfer of Approved Mineral Application and Succession of Permit Applicant, as signed
on behalf of Applicant(Providence Mining, LLC).