2017-08-14_PERMIT FILE - M2014042

• Permit No: M2014042
• IBM Index Class Name: PERMIT FILE
• Doc Date: 8/14/2017
• Doc Name: Adequacy Review Response
• From: Russell Painter
• To: DRMS
• Type & Sequence: CN1
• Email Name: ERR
• Email Name: WHE
• Media Type: D
• Archive: No

EXHIBIT G-Source of Legal Right to Enter
Rule 6.3.7(Starts on Page 143 of the Rules)
1) Name of owner to the surface of affected land:
Public Domain(BLM) ✓ National Forest(USFS)
State _� State Sovereign Lands
Private(who):
Other(please describe):
2) Name gf owner to the subsurface rights of affected land:
Public Domain(BLM) n National Forest(USFS)
State F1 State Sovereign Lands
Private(who):
Other(please describe): PATRICA YERKEY AND MICHAILE PEHLMAN mining claims USFS
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: PATRICIA YERKEY MICHAILE PEHLMEN
ii) Serial Number: CMC250763-2507 CMC250752 - �1►1C�Si7-155�—C►Y�(, �5��5
iii) List Name: AMAZON ITE,III,IV,VI AMAZONITE ( $
iv) Address: 3232W FONTANERO 19042 N 22ND ST
v) Telephone: [phone] [phone]
vi) Fax Number: COLO SPRINGS 80904 PHOENIX AZ 85024
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.