2019-10-01_REVISION - M2017003

• Permit No: M2017003
• IBM Index Class Name: REVISION
• Doc Date: 10/1/2019
• Doc Name: Request for Conversion of Permit
• From: Colorado Calumet Co.
• To: DRMS
• Type & Sequence: CN1
• Email Name: ERR
• Email Name: MAC
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION,MINING
Department of Natural Resources 'ED
Sherman 5t.,Room 215 CN01 O L O R A D O
Den D
Denver,Colorado 80203 IVI S t ON o f
Phone:[phone] )�9 R-ECLAMAT10N
FAX:[phone] ERR/mac MINING
MATION SAFETY
LIMITED LVIPACT OPERATION(110(2)) wirfTY
RECLAMATION PERMIT RECEIVED
APPLICATION FORM
OCT 01 2019
DM"OF RECL"TIOW
CHECK ONE: ® New Application(Rule 1.4) Conversion Application(Rule 1.11) MINING AND SAFETY W ►
*6" ougm i 0 N
0
Permit#M- 40 JVJ70 (provide for conversions of existing permits) 0��f� lp�lVielation
3 CD
application for a Limited Impact Designated Mining Operation Reclamation Permit contains three major party e a
form; (2) Exhibits A-J, any required sections of Exhibit S and Geotechnical Stability Exhibit, as required by the Office, and outlined in 0 O
O
Rules 6.1, 6.16.3, 6.4.19 and 6.5; and(3) the application fee. When you submit your application,be sure to include one(1) signed and p W
notarized original and one(1)copy of the application form,two(2)copies of Exhibits A-J,appropriate sections of 6.4.19 Exhibit S and 6.5 N
(Geotechnieal Stability Exhibit), as required,and a check for the application fee described under(4)below. Exhibits should not be bounc
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 infomiatior
in the format and order described in this form.
GENERAL OPERATION INFORMATION o
Type or print clearly,in the space provided,all information described below
m <.
70 m n
1. applicant/operator or company name(name to be used on the per miU: Colorado Calumet Co, Inc. �3 0 ZO
1.1 Type of organization(corporation,partnership,etc.): Corporation 0 �a
2. Operation name(pit,mine or site name): Detroit City Mine
3. Permitted acreage(new or existing site): 9.5 permitted acres
4. Fees:
4.1 New Application $1,006.00 application fee
4.2 Amendment Application(from 1.10(2))
4.3 Conversion Fee(from 110d to 110(2),(Rule 1.11.2(2)) $1.725.00 conversion fee
5. Primary commodities)to be mined: Mineral specimens
6. Name of owner to the surface of affected land: Sweet Home Rhodo, Inc.
7. Name of owner to the subsurface nghts of affected land: Sweet Home Rhodo, Inc.
8. Type of minins operation: Surface Underground In-situ
Office of Office of
Mined Land Reclamation Denver • Grand junction • Durango Active and Inactive Mines