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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources RE: M- <br /> 1313 Sherman St.,Room 215 BLM CMC254209 <br /> Denver,Colorado 80203 USFS File Code 2810 DIVISION O L Q FLA OF <br /> D O <br /> Phone:(303)866-3567 I TSFS MPO-2018-004 RECLAMATION <br /> FAX:(303)632-8106 M I N I N G <br /> M-2018-036 SAFETY <br /> Ten Percenter Claim (CMC254209) RECEIVED <br /> err, mac <br /> JUL 0 9 2018 <br /> CHECK ONE: El New Application(Rule 1.4) Conversion Application(Rule 1.11) MINING MD nON <br /> Permit#M- - (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)signed and <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 /> (Geotechnical Stability Exhibit),as required,and a check for the application fee described tinder(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. Applicant/operator or company name(name to be used on the permit): ZyMin Corporation <br /> 1.1 Type of organization(corporation,partnership,etc.): Corporation <br /> 2. Operation name(pit,mine or site name): Ten Percenter Claim (CMC254209) <br /> 3. Permitted acreage(new or existing site): 4.275 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 110d to 110(2),(Rule 1.11.2(2)) $1.725.00 conversion fee <br /> 5. Primary commoditie(s)to be mined: Amazonite, Smoky Quartz, Cleavlandite, Columbite/Tantalite <br /> 6. Name of owner to the surface of affected land: Dept. of Agriculture, US Forest Service <br /> 7. Name of owner to the subsurface rights of affected land: ZyMin Corporation via lode mining claim <br /> 8. Type of mining operation: Surface Underground El In-situ <br /> Office of Office of <br /> Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines <br />