2024-09-03_REVISION - M1982020

• Permit No: M1982020
• IBM Index Class Name: Revision
• Doc Date: 9/3/2024
• Doc Name: Request For Amendment To Permit
• From: ALSH LLC
• To: DRMS
• Type & Sequence: AM3
• Email Name: DMC
• Email Name: THM
• Email Name: EL1
• Media Type: D
• Archive: No

STATE OF COLORADO
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
D 1 V 1 S t O N OF
Phone:[phone]
RECLAMATION
FAX:[phone] MINING
—&—
SAFETY
DESIGNATED MINING
LIMITED IMPACT(I10d)OPERATION
RECLAMATION PERMIT APPLICATION FORM
CHECK ONE: New Application(Ruic IA) E Amendment Application(Rule 1.8 or 1.10)
Conversion Application(Rule I.1I)
Permit#M- 1I9(82, 02®- (provide for Amendments and Conversions of existing permits)
The application for a Limited Impact(110d)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(1)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 I.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 11"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. Applicant/operator or company name(name to be used on permitf: ALSH LLC
1.1 Type of organization(corporation,partnership,etc.): Limited Liability Company
1.2 I.R.S.Tax ID No.or Social Security Number: 81-5446120
2. Operation name(pit,mine or site name): Lucky Strike Mine & Mill
3. Permitted acreage(new or existing site): 8.0 _permitted acres
3.1 Change in acreage(+) 0 acres
Total Acreage in Permit Area 8.0 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 for a I 1 Od must be submitted,along
with an application fee of$2,875.00(Rule 1.11.2(2)).
5. Primary commodities to be mined: Gold, silver
6. Type of mining operation: LI Surface 151 Underground L In-situ
Office of Office of
Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines