2022-05-16_PERMIT FILE - M2022015

• Permit No: M2022015
• IBM Index Class Name: Permit File
• Doc Date: 5/16/2022
• Doc Name Note: Revised Application
• Doc Name: Response to Deficiencies
• From: John Icabone
• To: DRMS
• Email Name: ERR
• Email Name: JDM
• Media Type: D
• Archive: No

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DIVISION OF RECLAMATION,MINING AND SAFETY
Department of Natural Resources
1313 Sherman St.,Room 215
Denver,Colorado 80203 C O L O R A D O
DIVISION O F
Phone:[phone] RECLAMATION
FAX:[phone] M I N I N G
LIMITED IMPACT OPERATION(110(2))
SAFETY
RECLAMATION PERMIT
APPLICATION FORM RecE1VE p
CHECK ONE: New Application(Rule 1.4) Conversion Application(Rule 1.11)
MAY 16 2022
oMsroA1 of
M� REC
Permit#M 109- 0)r (provide for conversions of existing permits) JVGAND&�T/QN
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 Geote chnical 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)signed an
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 J 1"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
I. Anticant/oaerator or company name(name to be used on the permit):JJ'akv DAJ,
1.1 Type of organization(corporation,partnership,etc.): TNd i VidteA!
2. Operation name(oit,mine or site name): toot O e*A)CJ1 Plof aer- /4irle
3. Permitted acreage ffij r existing site): . permitted acres
4. Fees:
4.1 New Application $1,006.00 application fee
4.2 AmendmentApplication(from 1.10(2))
4.3 Conversion Fee(from 110d to 110(2),(Rule 1.11.2(2)) $1.725.00 conversion fee
5. Primary commodities)to be mined: Y4� u 0 ld
6. Name of owner to the surface of affected land: R&I A Al Ce ;* bA.Y
7. Name of owner to the subsurface rights of affected land: 9G.ShA!Al n.4/aa
8. Tone of Minh&operation: 21 Surface 11 Underground El In-situ
Office of Office of
Mined Land Reclamation Denver - Grand Junction • Durango Active and Inactive Mines