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STATE CIF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY RECEIVED <br /> Department of Natural Resources <br /> 1313 Sherman SL,Roan 215 rREECLAMATION <br /> O L O R A D O <br /> Denver,Colorado 80203 DEC 2 2 2016 I V I S I O N O F <br /> Phone:(303)M&3567 <br /> FAx:(303)832.8106 DIVISION OF RECLAMATION MINING <br /> MINING AND SAFETY SAFETY <br /> LIMITED IMPACT OPERATION(110(2)) <br /> RECLAMATION PERMIT <br /> APPLICATION ')RM <br /> CHECK ONE: El New Application(Rule 1.4) r_1 Conversion Application(Rule 1.11) <br /> Permit#M-2016-083 _ (provide for conversions of existing permits) <br /> The application for a Limited Impact Designated Mining Operation Reclamation Permit contains three major parts: (1)the application <br /> form; (2)Exhibits A-J,any required sections of 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; and(3)the application fee. When you submit your application,be sure to include one(1)signed <br /> notarized original and one(1)copy of the application form,two(2)copies of Exhibits A J,appropriate sections of 6.4.19 Exhibit S and 6.5 <br /> (Geotechnical Stability Exhibit),as required,and a check for the application fee described under(4)below.Exhibits should not be bound <br /> or in a 3-rung binder;maps should be folded to 8 1/2"X I I"or 8 1/2"X 14"size. To expedite processing,please provide the information <br /> 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 /> I. Applicant(owator or company name(name to be used on the permit): CRG Mining L LC <br /> 1.1 Type of organization(corporation,partnership,etc.): limited liability company <br /> 2. Operation name(pit.mine or site name): Upper Gold Links Mine <br /> 3. Permitted acreaee(new or existing site): 4.25 permitted acres <br /> 4. Fees: <br /> 4.1 New Application $1.006.00 application fee <br /> 4.2 Amendment Application(from 1.10(2)) <br /> 4.3 Conversion Fee(from 110d to 110(2),(Rule 1.11.2(2)) $1.725.00 conversion fee <br /> 5. Primary commoditie(s)to be mined: Gold, silver <br /> 6. Name of owner to the surface of affected land: Gold Links Mining Corp. <br /> 7. Name of owner to the subsurface rieltts of affected land: Gold Links Mining Corp. <br /> 8. Type of minine operation: El Surface W1 Underground n In-situ <br /> Office of Office of <br /> Mined Land Reclamation Denver * Grand Junction - Durango Active and Inactive Mims <br />