2021-05-17_PERMIT FILE - M2021032

• Permit No: M2021032
• IBM Index Class Name: PERMIT FILE
• Doc Date: 5/17/2021
• Doc Name: Application
• From: CJK Milling Company, LLC
• To: DRMS
• Email Name: DMC
• Email Name: THM
• Email Name: AWA
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION Of RWIAMATION,MINI
Department of Natural Resources
1313 Sherman SL,Room 215 M 2 0 21 —0 3
Denver,Colorado 80203 COL R A D O
Phone:[phone] D M C/t h m/a wa/s m s DIVISION O F
FAX:[phone] MINING
� N
LIMITED IMPACT OPERATION(110(2)) SAFETY
RECLAMATION PERMIT
APPLICATION FORM
RECEIVED
CHECK ONE: New Application(Rule 1.4) Conversion Application(Rule 1.11) MAY 17 2021
Permit#M- (provide for conversions of existing permits) DIVISION OF RECLAMATION
MININGAND SAFETY
The application for a Limited Impact Designated 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 6.1,6.2,6.3,6.4.19 and 6.5;and(3)the application fee. When you submit your application,be sure to include one(1)sigggd
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
(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 l l"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 company name(name to be used on the permit): CJK Milling Company, LLC
1.1 Type of organization(corporation,partnership,etc.): LLC
Penn Mine
2. Operation name(pit,mine or site name):
9.6
3. Permitted aereaet(new or existim site): 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 1 IOd to 110(2),(Rule 1.11.2(2)) $1.725.00 conversion fee
Gold and Silver
5. Primary commoditie(s)to be mined:
CJK Milling Company LLC
6. Name of owner to the surface of affected land:
CJK Milling Company LLC
7. Name of owner to the subsurface rights of affected land:
8. Type of mining operation: RI Surface E] Underground EJ In-situ
Office of office Of
Mined Land Reclamation Denver - Grand Junction - Durango Active and Inactive Mines