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COLORADO <br /> Division of Reclamation, <br /> A C10- 0 Mining and Safety <br /> Department of Natural Resources <br /> REGULAR(112d)DESIGNATED MINING OPERATION <br /> RECLAMATION PERMIT <br /> APPLICATION FORM <br /> CHECK ONE: _� New Application(Rule 1.4.5) _ YF _ Amendment Application(Rule 1.10) <br /> Conversion Application(Rule 1.11) <br /> Permit No.M-2012 -032 (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;(2)Exhibits <br /> A-T,Geotechnical Stability Exhibit,the Emergency Response Plan,and Addendum 1, as required by the Office, and outlined in Rules 6.1,6.2,6.3, <br /> 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) signed and notarized <br /> original and four(4)copies of the application form,five(5)copies of Exhibits A-T,Rule 6.5 Geotechnical Stability Exhibit,the Emergency Response <br /> Plan,Addendum 1,and a check for the appropriate application fee(described under Section(4) on Page 2). Exhibits should not be bound or in a 3-ring <br /> binders;maps should be folded to 8 ''/2" X 11" or 8 ''/2"X 14" size. To expedite processing,please provide the information in the format and order <br /> described in this form. <br /> ------------------------------------------------------------------------------------------ <br /> GENERAL OPERATION INFORMATION <br /> Type or print clearly,in the space provided,all information described below. <br /> ------------------------------------------------------------------------------------------ <br /> 1. Applicant/operator or company name(name to be used on permit): <br /> Ouray Silver Mines, Inc. <br /> 1.1 Type of organization(corporation,partnership,etc.): COrpOratation <br /> 1.2 I.R.S. Tax ID No. or Social Security Number: 46-5762880 <br /> 2. Operation name(pit,mine or site name): Revenue-Vi rg i n i u s Mine <br /> 3. Permitted acreage: (new or existing site) 50.53 permitted acres <br /> 3.1 Change in acreage(+) 1.16 acres <br /> 3.2 Total acreage in Permit area 51.69 acres <br /> 0F'COLO <br /> a� <br /> I of 0 <br /> 1313 Sherman Street, Room 215, Denver,CO 80203 P 303.866.3567 F 303.832.8106 https://colorado.Rov/drms <br /> Jared S. Polis,Governor Dan Gibbs, Executive Director Virginia Brannon, Director * 1876 <br />