2019-06-06_PERMIT FILE - M2018052

• Permit No: M2018052
• IBM Index Class Name: PERMIT FILE
• Doc Date: 6/6/2019
• Doc Name: Completeness Response
• From: Steve Hunter
• To: DRMS
• Email Name: ECS
• Media Type: D
• Archive: No

EXHIBIT G- Source of Legal Right to Enter
Rule 6.3.7 (Starts on Page 143 of the Rules)
1) Name of owner to the surface of affected land:
Public Domain (BLM) �_ National Forest(USFS)
State State Sovereign Lands
Private (who): {,Utz e—Y—
�_ Other(please describe):
2) Name of owner to the subsurface rights of affected land:
— l Public Domain (BLM) National Forest(USFS)
State State Sovereign Lands
Private (who):
Other(please describe):
3) If mining is located on Bureau of Land Management Land (BLM) or U.S. Forest Service land (USFS) land
the remaining section must be completed:
i) Claimant: _
ii) Serial Number:
ni) List Name:
iv) Address:
v) Telephone: _
vi) Fax Number:
4) if the reining operation is located on private, state, or state sovereign lands, please provide a description of
the basis for legal right of entry to the site and to conduct mining and reclamation for Owners of Record
described in Rule 1.6.2(1)(e)(i). This may be a copy of access lease, deed, abstract of title, or a current tax
receipt. A signed statement by the Landowner(s) and acknowledged by a Notary Public stating that the
Operator/Applicant has legal right to enter and is also acceptable.