2017-12-19_REVISION - M1994117

• Permit No: M1994117
• IBM Index Class Name: REVISION
• Doc Date: 12/19/2017
• Doc Name: Request For Amendment To Permit
• From: Gold Mill Hill
• To: DRMS
• Type & Sequence: AM1
• Email Name: AME
• Email Name: WHE
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION,MINING AND SAFETY
Department of Natural Resources
1313 Sherman St.,Room 215
Denver,Colorado 80203 C O L O R A D O
DIV IS I ON O F
Phone:[phone] RECLAMATION
FAX:[phone] MINING
LIMITED IMPACT OPERATION (110(2)) SAFETY
RECLAMATION PERMIT
APPLICATION FORM
CHECK ONE: New Application(Rule 1.4) F� Conversion Application(Rule 1.11) Amendment
(Rule 1 . 10 (2) )
Permit#m-1994. 1 17 (provide for conversions of existing permits)
The application for a Limited Impact Designated.Mining Operation Reclamation Permit contains three major parts: (1) the application
form; (2)Exhibits A-J, any required sections of Exhibit S and Geotechnical Stability Exhibit, as required by the Office,and outlined in
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)signed and
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
(Geotechnical Stability Exhibit), as required,and a check for the application fee described under(4)below.Exhibits should not be bound
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
in the format and order described in this form.
GENERAL OPERATION INFORMATION
Type or print clearly,in the space provided,all information described below
a
Applicant/operator or company name(name to be used on the permit): Colorado Milling Company, LLC
1.1 Type of organization(corporation,partnership,etc.): Limited Liability Company
2. Operation name(pit,mine or site name): Gold Hill Mill
3. Permitted acreage(new or existing site): 8.390 permitted acres
4. Fees:
4.1 New Application $1.006.00 application fee
4.2 Amendment Application(from l.10(2)) $6 61 . 0 0
4.3 Conversion Fee(from I IOd to 110(2),(Rule 1.11.2(2)) $1.725.00 conversion fee
5. Primary commoditie(s)to be mined: Gold and Silver Ores
6. Name of owner to the surface of affected land: Colorado Milling Company, LLC
7. Name of owner to the subsurface rights of affected land:
Colorado Milling Company & Boulder County
8. Type of mining operation: a Surface Underground In-situ
Office of Office of
Mined land Reclamation Denver • Grand]unction • Durango Active and Inactive Mines