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
DIVISAON OF RECLAMATION,MINING AND SAFETY
Depa MwA of Natural RaomVes
1313 Shemnan St,Room 215
Denver,Colorado 8=3 C O L O R A D O
Phone:[phone] p r v r s r ON o f
RECLAMATION
FAX:[phone] MINING
—St—
Y
LIlVHTED IMPACT OPERATION(110(2)) SAFETY
RECLAMATION PERMIT
APPLICATION FORM
CHECK ONE: -0 New Application(Rule 1.4) -a Conversion Application(Rule I.11)
Permit#M- - (provide for conversions of existing permits)
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)sioried ac
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 I V 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
CJK Milling Company, LLC
1. Applicant/operator or company name(name to be used on the permit):
1.1 Type of organization(corporation,partnership,etc.): LLC
Penn Mine
2. Operation name(pit.mine or site name).
9.6
3. Permitted aerea>te(new or exiatine 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 110d to 110(2),(Rule 1.11.2(2)) $1.725.00 conversion fee
Gold and Silver
5. Primary commoditle(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 rip¢hts of affected land:
8. Type of minins:operation: 21 Surface Underground EJ In-situ
Office of Office of
Mined Land Reclamation Denver - Grand Junction - Durango Adive and Inactive Mina