2017-03-10_PERMIT FILE - M2017008

• Permit No: M2017008
• IBM Index Class Name: Permit File
• Doc Date: 3/10/2017
• Doc Name: Application
• From: LLM Investments LLC
• To: DRMS
• Email Name: AME
• Email Name: WHE
• Media Type: D
• Archive: No

101
1)
EXHIBIT C - Source of Legal Right to Enter
Rule 6.3.7 (Starts on Page 143 of the Rules)
Name of owner to the surface of affected land:
Public Domain (BLM)
State
Private (who): LLM Investments LLC
0 _ Other (please describe):
2) Name of owner to the subsurface rights of affected land:
National Forest (USFS)
State Sovereign Lands
I I Public Domain (BLM) Ii_ National Forest (USFS)
E State viv
State Sovere'gn Lands /
Private (who): LLM Investments LLC 1jY1— s% ¢ w.r 1Aik.4,to, 1T KT<
Other (please describe):
3) If mining is located on Bureau of Land Management Land (BLM) or U.S. Forest Service land (USFS) land
the remaining section must be completed:
i) Claimant:
ii) Serial Number:
iii) List Name: _
iv) Address:
v) Telephone:
vi} Fax Number:
O 4) If the mining operation is located on private, state, or state sovereign lands, please provide a description of
the basis for legal right of entry to the site and to conduct mining and reclamation for Owners of Record
described in Rule 1.6.2(1)(e)(i). This may be a copy of access lease, deed, abstract of title, or a current tax
receipt. A signed statement by the Landowner(s) and acknowledged by a Notary Public stating that the
Operator/Applicant has legal right to enter and is also acceptable.
K