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STATE CIF COLORADO <br /> DIVISION Of RECLAMATION,MINING AND SAFETY <br /> D"wonent of Napml <br /> 1313 Sherman St,Rouyn 215 <br /> Denver,Culoracio 80203 t; M <br /> R A D O <br /> r 1303)86b 3567 DIVISION �,r <br /> MATION <br /> PAX:(303)832-6106 HARD ROCK/METAL MINING N I NG <br /> REGULAR OPERATION(112) SAF ITY <br /> RECLAMATION PERMIT APPLICATION FORM <br /> CAE ONE: ❑ There is a Rile Number Already Assigned to this Operation <br /> New Application(Rule 1.4.5) Amendment Application(Rule 1.10) <br /> Conversion Application(Rule 1.11) <br /> Permit#M- (provide for amendments and conversions of existing permits) <br /> The application for a Regular Operation Reclamation Permit contains three major parts:(1)the application form;(2)Exhibits A-S, <br /> Geotechnicai 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 forth,two(2)copies of Exhibits <br /> A-S,the Geotechrtical Stability Exhibit,and Addendum 1,and a check for the application fee described under Section 4 below. <br /> Exhibits should INOT be bound or in a 3-ring binder;maps should be folded to 8 1/2's X I l"or 8 112"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,AU information described below. <br /> 1. Applicant/operator na w Titan Au, Inc. <br /> i l Type of organization(corporation,partnership,etc.): Corporation <br /> 2. Operation name(pit,mine or site Hume): Box Creek Placer Milts: <br /> 3. Permitted acreage(new or existing site): 950.0 pemtifted acres <br /> 3.1 Change in acreage(+or-) acres <br /> 3.2 Total acreage in Permit area 550.0 acres <br /> 4. Fees: <br /> 4.1 New Application S2.1Sb,C application fen <br /> 4.2 New Quarry Application S2,674A quarry application <br /> 43 Milling Application(Non-DMO) $3-405.00 milling application <br /> 4.4 Amendment Fee S1.733.f9 amendment fee <br /> 4.5 Conversion to 112 oration(set by statute) $1,725.00 conversion fee <br /> S. Primary commodities)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 O. <br /> & Type of mid operation:ration: X Surface Underground In-situ <br /> OBke of office of <br /> Mined I&W Raciainrtiun Denver • Grand tut+ction • t umW Active and WWKW*Mines <br />