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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 COL G R A D F <br /> Phone:(303)866-3567 D f v� s t o N o f <br /> FAX:(303)832-8106 MINING N <br /> SAFETY <br /> DESIGNATED MINING <br /> LIMITED IMPACT(110d)OPERATION <br /> RECLAMATION PERMIT APPLICATION FORM <br /> CHECK ONE: New Application(Rule 1 4) Amendment Application(Rule 1.8or 1 10) <br /> Conversion Application(Rule I I <br /> Permit#M- - - (provide for Amendments and Conversions of existing permits) <br /> The application for a Limited impact(I 1 Od)Designated:Mining Operation Reclamation Permit contains three major parts: (1)the application <br /> form;(2)Exhibits A-J,Exhibit L,Exhibit T,the Geotechnical Stability Exhibit,the Emergency Response Plan,and Addendum 1,as required by <br /> the Office,and outlined in Rules 6.1,6 2,6.3,6.4.20 6.5.8,and 1.6.2(1)(b);and(3)the application fee. When you submit your application,be sure <br /> to include one(I)signed and notarized Ori i>;nal and one(1)copy of the application form.two(2)copies of Exhibits A-J,Exhibit L,Exhibit T,the <br /> Geotechnical Stability Exhibit(Rule 6.5),the Emergency Response Plan(Rule 8),and Addendum 1(Rule 1.6 2(1)(b)).as required,and a check for <br /> the application fee described under(4)below. Exhibits should NOT be bound or in 3-ring binders;maps should be folded to 8 2"X I I"or 8 2"X <br /> 14"size. To expedite 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 or company name(name to be used on permit): Venture Resources, Inc. <br /> 1.1 Type of organization(corporation,partnership,etc.): Corporation <br /> 1.2 I.R.S.Tax ID No.or Social Security Number: EIN 4882295 <br /> 2. Operation name(pit,mine or site name): Old Town Reclamation Project <br /> 3. Permitted acreage(new or existing site): permitted acres <br /> 3.1 Change in acreage(—) acres <br /> Total Acreage in Permit Area 2.76 acres <br /> 4, Fees: (Rule 1.5) <br /> 4.1 New.Application S2,875.00 application fee <br /> 4.2 Amendment Fee(operations existing as of 06130/94) S1,725.00 application fee <br /> 4.3 Amendment Fee(operations permitted from OTO11'94) $2,300.00 application fee <br /> 4A .After July 1,1995.to convert a 110(l),1 10(2)or a 110 to a I 10(d),a new application form fora 1 I Od must be submitted,along <br /> with an application fee of$2,875.00(Rule 1.1 1.2(2)). <br /> 5. Primary commodities to be mined: <br /> The waste pile will be removed and taken to a mill to recover gold,silver,lead and zinc,etc. <br /> 6. Tvpe of mining operation: Surface 11 Underground El In-situ <br /> Office of Office of <br /> Mined Land Reclamation Denver • Grand)unction • Durango Active and Inactive Mines <br />