Laserfiche WebLink
STATE OF COLOKA <br /> DIVISION OF RKLAMATIO ERR WHE <br /> D"flinent of Natural Resource! M-2007-031 AM01 <br /> 1Den <br /> 3 Colordd�o+� '215 ✓Annual Fee/Report: CW <br /> Violations: C O L O RA D O <br /> Phone:(303)%6.3567 D i v i s i o m o e <br /> FAX:(303)832.8106 MV-2017-035 7/26/2017 RECLAMATION <br /> MINING <br /> LEVIITED IMPACT OPERATION(110(2)) SAFETY <br /> RECLAMATION PERmrr <br /> APPLICATION FORM <br /> CHECK ONE: New Application(Rule 1.4 ,4 er+a ►^' ^�' <br /> � ) Conversion Application(Rule 1.11) Q <br /> Permit#M2007-031 (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)sigmd an <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 /> (Geotechmical 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-ring 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 /> 1. AARollcant/oDerator or company name(name to be used on the permit) Turquoise Connection <br /> 1.1 Type of organization(corporation,partnership,etc.): S Corporation <br /> 2. Operation name(pit.mine or site name): Scott Blue 11 <br /> 3. Permitted acreage(new or existing site)• . 6 ��++le.�a 1 cCCPes T-c ! 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 1 IOd to 110(2),(Rule 1.11.2(2)) 51.725.00 conversion fee <br /> 5. Pduuwv commoditle(8)to be wed, Gold and Turquoise <br /> 6. Name of owner to the surface of affected land Bureau of Land Management <br /> 7. Name of owner to the subsurface rights of affected land: Foster Scott <br /> 8. 1 e of mining operation: 21 Surface 1-1_Underground In-situ <br /> Office of <br /> Mined land Reclamation Denver • Grand function • Dutanso Dive and«Ien a of <br /> Mines <br />