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P� STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 <br /> Inver,Colorado 80203AM13 COLOR-ADO ' <br /> F <br /> D i V i 5 t O N O F i <br /> done:(303)866 3567 RECLAMATION <br /> ,AX:(303)832-8106 � MINING <br /> TC 1/mac SAFETY <br /> REGULAR(112d)DESIGNATED MINING OPERATION <br /> RECLAMATION PERMIT RECEIVED <br /> APPLICATION FORM <br /> DEC 13 2019 <br /> DIVISION OF RECLAMATION <br /> CHECK ONE: New Application(Rule 1.4,5) Amendment Application(Rule 1.10) MINING&SAFETY �,/ <br /> ) <br /> Conversion Application(Rule 1.11) lM%4-small ffi4pS(#"1rn„/�. 1�� `r <br /> 1980 244 W (r WWJl�) <br /> Permit No.M- - (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(l)(b);and,(3)the application fee. When you submit your application,be sure to include one(1)signed 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 'h" X I I" or 8 '/2" X 14" size. To expedite processing, please provide the <br /> information in the format and order described in this form. <br /> ___ -- ---- — _- - — - 30 3 <br /> GENERAL OPERATION INFORMATION <br /> Type or print clearly,in the space provided,all information described below. ° O <br /> E {N� <br /> o +� <br /> Ln <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: 1 3-2851 124 <br /> 2. Operation name(pit,mine or site name): Cripple Creek & Victor <br /> 3. Permitted acreage:(new or existing site) 6007 permitted acres rn A8 <br /> 3.1 Change in acreage(+) 0 acres <br /> 6007 <br /> 3.2 Total acreage in Permit area acres <br /> Office of Office of <br /> Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines <br />