2017-08-31_PERMIT FILE - M2017035

• Permit No: M2017035
• IBM Index Class Name: PERMIT FILE
• Doc Date: 8/31/2017
• Doc Name: Addendum To Application
• From: Miners Mall, LLC
• To: DRMS
• Email Name: SJM
• Email Name: GRM
• 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) F1 National Forest (USFS)
State _� State Sovereign Lands
Private (who):
Other(please describe):
2) Name of owner to the subsurface rights of affected land:
Public Domain(BLM) National Forest(USFS)
State �_ State Sovereign Lands
Private (who):
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: Dennis Schneider&Tammey Holbrook
ii) Serial Number: CMC 288087
iii) List Name: Humming Bird Mine
iv) Address: 3143-1/2 Goldeneye Ave- Grand Junction, CO 81504
v) Telephone: [phone]
vi) Fax Number:
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.