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DWI /A 2.{) <br /> STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 <br /> Denver,Colorado 80203 D O L Oi o N>00 <br /> Phone:(303)866-3567 RECLAMATION <br /> FAX:(303)8324106 HARD ROCK/METAL MINING MINING <br /> REGULAR OPERATION(112) SAFETY <br /> RECLAMATION PERMIT APPLICATION FORM <br /> CHECK ONE: 111 There is a File Number Already Assigned to this Operation T i'„E D <br /> ' New Application(Rule 1.4.5) Amendment Application(Rule 1.10) <br /> L :Application(Rule 1.11) NOV 0 2018 <br /> Permit#M- 2 018 - (2 - (provide for amendments and conversions of existing permits) •,i I';•rlam.ton, <br /> ..,,„.0 tovNllif <br /> The application for a Regular Operation Reclamation Permit contains three major parts:(1)the application form;(2)Exhibits A-S, <br /> Geotechnical Stability Exhibit and Addendum 1;and,(3)the application fee. When you submit your application,be sure to include <br /> one(1)completed,signed and notarized gray original and one(1)copy of the completed application form,two(2)copies of Exhibits <br /> A-S,the Geotechnical Stability Exhibit,and Addendum 1, and a check for the application fee described under Section 4 below. <br /> Exhibits should NOT be bound or in a 3-ring binder;maps should be folded to 8 1/2” X 11" or 8 1/2" X 14" size. To expedite <br /> processing,please provide the information 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 name: Titan Au, Inc. <br /> 1,1 Type of organization(corporation,partnership,etc.): Corporation <br /> 2. Operation name(pit,mine or site name): Box Creek Placer Mine <br /> 3. Permitted acreage(new or existing site): 950.0 permitted acres <br /> 3.1 Change in acreage(+or-) acres <br /> 3.2 Total acreage in Permit area 950.0 acres <br /> 4. Fees: <br /> 4.1 New Application $2,156.00 application fee <br /> 4.2 New Quarry Application $2,674.00 quarry application <br /> 4.3 Milling Application(Non-DMO) $3,565.00 milling application <br /> 4.4 Amendment Fee $1,783.00 amendment fee <br /> 4.5 Conversion to 112 operation(set by statute) $1,725.00 conversion fee <br /> 5. Primary commoditie(s)to be mined: gold <br /> 6. Name of owner of surface of affected land: City of Aurora and State Land Board <br /> 7. Name of owner of subsurface rights of affected land: City of Aurora and State Land Board <br /> If 2 or more owners,refer to Exhibit 0. <br /> 8. Type of mining operation: X Surface -Underground In-situ <br /> Office of Office of <br /> Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines <br />