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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY Rr'"EI'JED <br />Department of Natural Resources ��� <br />1313 Sherman 5t., Room 215 •�r1 <br />Denver, Colorado 80203 Mph ( 2017 ; C O L O IL A D O <br />5 1 ON OF <br />Phone: (303)866-3567 � REC D IVtLAMATION <br />FAX: (303) 832-6106 I ARD ROCK/METAL MINZWJSi ;, ;F FFC gA,F,�3ION ; MINING <br />REGULAR OPERATION (112) MWING & SAFETY SAFETY <br />RECLAMATION PERMIT APPLICATION FORM <br />CHECK ONE: 0 There is a File Number Already Assigned to this Operation MAR 0 9 2097 <br />New Application (Rule 1.4.5) � Amendment Application (Rule 1.10) DWISION OF RECLAMATION <br />� OWNG &sAFErr <br />Conversion Application (Rule 1.11) <br />Permit # M- 1991 - 037 (provide for amendments and conversions of existing permits) <br />The application for a Regular Operation Reclamation Permit contains three major parts: (1) the application form; (2) Extubits A -S, <br />Geotechnical Stability Exhibit and Addendum l; and, (3) the application fee, When you submit your application, be sure to include <br />one (1) completed, signed and notarized gray original and one (1) copy of the completed application form, two (2) copies of Exhibits <br />A -S, the Geotechnical Stability Exhibit, and Addendum 1, and a check for the application fee described under Section 4 below. <br />Exhibits should NOT be bound or in a 3 -ring binder, maps should be folded to 8 P2" X 11" or 8 1/2" X 14" size. To expedite <br />processing, please provide the 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 name: High Speed Mining, LLC <br />I.1 Type of organization (corporation, partnership, etc.)' LLC <br />2. Operation name (pit, mine or site name): Fairplay Au Pit <br />3. Permitted acreage (new or existing site): <br />3.1 Change in acreage (* or -) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.3 Mi;ling Application (Non -DMO) <br />4.4 Amendment Fee <br />4.5 Conversion to 112 Operation (set by statute) <br />5. <br />6. <br />7. <br />8. <br />Primary commoditie(s) to be mined: Gold <br />Name of owner of surface of affected land: see Exhibit O' <br />Name of owner of subsurface rights of affected land: see Exhibit O <br />If 2 or more owners, refer to Exhibit O_ <br />perimued acres <br />33.4 acres <br />41.4 acres <br />$2.156.00 application fee <br />$2,674.00 quarry application <br />$3,565.00 milling application <br />$1783.00 amendment fee <br />d= T5$1 725.00 nverston fee <br />Type of mining operation: X Surface Underground <br />In-situ <br />