2022-09-13_REVISION - M1994117

• Permit No: M1994117
• IBM Index Class Name: Revision
• Doc Date: 9/13/2022
• Doc Name: Request For Conversion
• From: Colorado Milling Company, LLC
• To: DRMS
• Type & Sequence: CN1
• Email Name: JPL
• Email Name: JLE
• Email Name: AWA
• Media Type: D
• Archive: No

STATE OF COLORADO
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DIVISION OF RECLAMATION,MINING AND SAFETY ,�*
Department of Natural Resources �
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1313 Sherman St.,Room 215 "
Denver,Colorado 80203 tl 02� C O L O R A D O
Phone:[phone] �t 1 N DIVISION o f
FAX:[phone] f��G�A��RP`S RECLAMATION
MINING
D`N1NG&p PF��� MIN SAFETY
DESIGNATED MINING M�
LIMITED IMPACT(110d)OPERATION
RECLAMATION PERMIT APPLICATION FORM
JPUJLE
CHECK ONE: H New Application(Rule 1.4) CAmendment Application(Rule 1.8 or 1.10)
Conversion Application(Rule 1.1 l)
Permit#M- ' - 117 (provide for Amendments and Conversions of existing permits)
The application for a Limited Impact(l l Od)Designated Mining Operation Reclamation Permit contains three major parts: (1)the application
form;(2)Exhibits A-J,Exhibit L,Exhibit T,the Geotechnical Stability Exhibit,the Emergency Response Plan,and Addendum 1,as required by
the Office,and outlined in Rules 6.1,6.2,6.3,6.4.20 6.5,8,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 Original and one(I)copy of the application form,two(2)copies of Exhibits A-J,Exhibit L,Exhibit T,the
Geotechnical Stability Exhibit(Rule 6.5),the Emergency Response Plan(Rule 8),and Addendum 1(Rule 1.6.2(1)(b)),as required,and a check for
the application fee described under(4)below. Exhibits should NOT be bound or in 3-ring binders;maps should be folded to 8 2"X 1 I"or 8 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. Ayolicant/operator or company name(name to be used on permit): Colorado Milling Company, LLC
1.1 Type of organization(corporation,partnership,etc.): Limited Liability Company
1.2 I.R.S.Tax ID No.or Social Security Number:
2. Operation name(pit,mine or site name): Gold Hill Mill
3. Permitted acreage(new or existing site): 9.20 permitted acres
3.1 Change in acreage(+) 0.0 acres
Total Acreage in Permit Area 9.20 acres
4. Fees: (Rule 1.5)
4.1 New Application $2,875.00 application fee
4.2 Amendment Fee(operations existing as of 06/30/94) $1,725.00 application fee
4.3 Amendment Fee(operations permitted from 07/01/94) $2300.00 application fee
4.4 After July 1,1995,to convert a 110 1), 110(2)or a 110 to a 110(d),a new application form fora 11 Od must be submitted,along
with an application fee ule 1.11.2(2)).
5. Primary commodities to be mined: Gold and Silver
6. Tyne of mining operation: ry Surface El Underground 0 In-situ
Office of Office of
Mined land Reclamation Denver • Grand junction • Durango Active and Inactive Mines