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STATE CIF OLOFADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 <br /> Denver,Colorado 80203 C O L S R A D O <br /> D t V I S r O N OF <br /> Phone:(303)866-3567 RECLAMATION <br /> FAX:(303)832-8106 MINING <br /> —&— <br /> SAFETY <br /> DESIGNATED MINING <br /> LIMITED IMPACT(110d)OPERATION <br /> RECLAMATION PERMIT APPLICATION FORM RECEIVED <br /> JAN 1 4 2025 <br /> CHECK ONE: 151 New Application(Rule 1.4) Amendment Application(Rule 1.8 or 1.10)1111 amati0n, <br /> Conversion Application(Ruts 1.11) Colorado Mining <br /> ning and Sa t <br /> Permit#M2D Z-S Q 0 3 (provide for Amendments and Conversions of existing permits) <br /> on of Rec <br /> The application for a Limited Impact(110d)Designated Mining Operation Reclamation Permit contains three major parts: (1)the application <br /> form;(2)Exhibits A-J,Exhibit L,Exhibit T,the Geotechnical Stability Exhibit,the Emergency Response Plan,and Addendum 1,as required by <br /> the Office,and outlined in Rules 6.1,6.2,6.3,6.4.20 6.5,8,and 1.6.2(l)(b);and(3)the application fee. When you submit your application,be sure <br /> 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 <br /> 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 <br /> 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 II"or 8 2"X <br /> 14"size. To expedite processing,please provide the information in the format and order described in this form. <br /> GENERAL.OPERATION INFORMATION <br /> Type or print clearly,in the space provided,all information described below. <br /> I. Applicant/operator or company name(name to be used on permit): CRS LLC <br /> 1.1 Type of organization(corporation,partnership.etc.): Corporation <br /> 1.2 I.R.S.Tax ID No.or Social Security Number: <br /> 2. Operation name(pit,mine or site name): East Leavenworth <br /> 3. Permitted acreage(new or existing site): 4.058 permitted acres <br /> 3.I Change in acreage(—) 0 acres <br /> Total Acreage in Permit Area 4'058 acres <br /> 4. Fees: (Rule I.5) <br /> 4.1 New Application S2,875.00 application fee <br /> 4.2 Amendment Fee(operations existing as of 06(30194) SI,725.00 application fee <br /> 4.3 Amendment Fee(operations permitted from 07i01i94) S2,300.00 application fee <br /> 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 110d must be submitted,along <br /> with an application fee of S2,875.00(Rule 1.11.2(2)). <br /> 5. Primary commodities to be mined: Precious Metals <br /> 6. Type of mining operation: LI Surface D Underground .EJ In-situ <br /> Office of Office of <br /> Mined Land Reclamation Denver • Grand junction • Durango • Active and Inactive Mines <br />