2019-06-10_PERMIT FILE - M2019031 (2)

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MMM COLORADO Division of Reclamation, Mining and Safety Department of Natural Resources 1313 Sherman Street, Room 215 Denver, CO 80203 LIMITED IMPACT OPERATION(110(1)) RECLAMATION PERMIT APPLICATION FORM CHECK ONE: -a New Application F Conversion Application(Rule 1.11) Permit#M- (provide for conversions of existing permits) The application for a Limited Impact 110(1) Mining Operation Reclamation Permit contains three major parts: (1)the application form; (2)Exhibits A-J, any required sections of Exhibit S and Geotechnical Stability Exhibit, as required by the Office, and outlined in Rules 6.1, 6.2, 6.3, and 6.5; and(3) the application fee. When you submit your application, be sure to include one (1) signed and notarized original and one(1)copy of the application form,two(2)copies of Exhibits A-J,and 6.5(Geotechnical Stability Exhibit),as required,and a check for the application fee described under(4)below.Exhibits should not be bound 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 in the format and order described in this form. GENERAL OPERATION INFORMATION Type or print clearly,in the space provided,all information described below 1. Applicant/operator or comnanv name(name to be used on the permit): Atlas Mining & Reclamation, LLC 1.1 Type of organization(corporation,partnership,etc.): Colorado limited liability company 2. Operation name(nit,mine or site name): Von Doose Mine 3. Permitted acreage(must be 5 acres or less): 4.66 permitted acres 4. Fees• 4.1 New Application $288.00 application fee 4.2 Amendment Application 66$ 1.00 amendment fee 4.3 Conversion Fee(from 110(2)to I10(1),(Rule 1.11.2(2)) $288.00 conversion fee 5. Primary commodities)to be mined: silver 6. Name of owner to the surface of affected land: Red Mountain Trust, LLC 7. Name of owner to the subsurface rights of affected land: Red Mountain Trust, LLC 8. Tyne of mining operation: 11 Surface 7 Underground OPlacer 01 1313 Sherman Street, Room 215, Denver,CO 80203 P 303.866.3567 F 303.832.8106 http://mining.state.co.us John W. Hickenlooper,Governor I Mike King,Executive Director ► Virginia Brannon, Director •�876"