2015-09-18_REVISION - M2014045 ‎(8)‎

• Permit No: M2014045
• IBM Index Class Name: REVISION
• Doc Date: 9/18/2015
• Doc Name: Request AR01
• From: Mineral Mountain Gold, LLC.
• To: DRMS
• Type & Sequence: AR1
• Email Name: TC1
• Email Name: WHE
• Media Type: D
• Archive: No

In accordance with Rule 4.17.1(4), if requesting a full or partial acreage release the Operator or their
agent MUST sign that they have complied with the following statement: "All applicable portions of the
Recla tion Plan requirements have been satisfied in accordance with these Rules and all applicable
requi�eents under the Act." ,1
of Permittee, Operator or their authorized agent Dat
Important. In accordance with Rules 4.14.2(a) and 4.17.1(3)This release request must be submitted
to the Division via certified mail and separate from any other correspondence to the Division.