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9IVISION OF RECLAMATION, MINING AND SAFETY <br />)epartment of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />'hone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />STATE OF COLORADO <br />"1 13 <br />TC 1 /mac <br />REGULAR (112d) DESIGNATED MINING OPERATION <br />COLORADO <br />DIVI SION OF <br />RECLAMATION <br />MINING <br />SAFETY <br />RECLAMATION PERMIT RECEIVED <br />APPLICATION FORM <br />DEG 13 2019 <br />DIVISION OF RECLAMATION <br />CHECK ONE: � New Application (Rule 1.4.5) Amendment Application (Rule 1.10) MINING & SAFETY <br />l�u1�4:5r�a�l rn��C <br />Conversion Application (Rule 1.11) <br />mu(�. L�7 vY�1�S(5�1 <br />Permit No. M-1980 244 (provide for amendments and conversions of existing permits) <br />The application for a Regular (112d) Designated Mining Operation Reclamation Permit contains three major parts: (1) the application form; <br />(2) Exhibits A -T, Geotechnical Stability Exhibit, the Emergency Response Plan, and Addendum 1, as required by the Office, and outlined in Rules <br />6.1, 6.2, 6.3, 6.4.19, 6.5, 8.0, and 1.6.2(1)(b); and, (3) the application fee. When you submit your application, be sure to include one (1) sinned and <br />notarized original and four (4) copies of the application form, five (5) copies of Exhibits A -T, Rule 6.5 Geotechnical Stability Exhibit, the <br />Emergency Response Plan, Addendum 1, and a check for the appropriate application fee (described under Section (4) on Page 2). Exhibits should <br />not be bound or in a 3 -ring binders; maps should be folded to 8 '/2" X 11" or 8 ''/2" X 14" size. To expedite processing, please provide the <br />rmation in the format and order described in this form. <br />GENERAL OPERATION INFORMATION 1" -0 <br />5.1 <br />Type or print clearly, in the space provided, all information described below. 0 C <br />0 O <br />7 <br />N <br />1. Applicant/operator or company name (name to be used on permit): <br />Newmont Goldcorp <br />1.1 Type of organization (corporation, partnership, etc.): corporation <br />1.2 I.R.S. Tax ID No. or Social Security Number: 13-2851124 <br />2. Operation name (pit, mine or site name): Cripple Creek & Victor <br />3. Permitted acreage: (new or existing site) 6007 permitted acres o+ <br />< <br />3.1 Change in acreage (+) 0 acres d I' <br />3.2 Total acreage in Permit area 6007acres <br />Office of Office of <br />AAi—A 1 —A 9-1—t;— rl.-- . !-:.o.vi L,nr+inn Ilnrannn s..:..., —4 i..—;— <br />