PERMFILE47357

• Permit No: M2001063
• IBM Index Class Name: Permit File
• Doc Date: 6/22/2001
• Doc Name: LIMITED IMPACT OPERATION 110 2 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

-s-
Certification:
As as authorized representative of the applicant, I hereby certify that the operation
described has met the minimum requirements of the following terms and conditions:
1. All necessary approvals from local government have been applied for
(Rule 1.6.2(1) and (2));
2. This entire mining operation will not extract more than 70,000 tons of mineral,
overburden, or combination thereof in any calendar year (defined in Rule 1.1(24));
3. This mining operation will not adversely affect the stability of any significant,
valuable and permanent man-made structure(s) located within two hundred (200) feet of
the affected lands. (However, where there is an agreement between the
applicant/operator and the persons having an interest in the structure that damage to
the structure is to be compensated for by the applicant/operator (Section
834-32-115(4)(d), C.R.S. 1984, as amended), then mining may occur within 200 feet.
Proof of an agreement must be submitted to the Office prior to the decision date.)
4. No mining operation will be located on lands where such operations are prohibited
by law (Section 34-32-119(4)(£), C.R.S. 1984, as amended);
S. As the applicant/operator, I do not have any mining/prospecting operations in
this state of Colorado currently in violation of the provisions of the Mined Land
Reclamation Act (Section 39-32-120, C.R.S. 1989, as amended) as determined through a
Board finding.
6. I understand that statements in the application are being made under penalty of
perjury and that false statements made herein are punishable as a Class 1 misdemeanor
pursuant to Section 18-8-503, C.R.S 1984, as amended.
Signed and dated this ~ day of Jllrie ,
Midas Mining Company, Inc.
,/A/Jp/plicant/Operator ~
Signed: U ~~`kllcc_ i~CA"~°~/il
Title: President
State of )
~j _~~ ss
County of 1'11.,nIA('t/ )
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2001 ~~` , _. ~
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If Corporation Attest (~Se"al•)-„ ~~ ~~~ ~'
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Signed: ~~~ .- v ~~
Corporate Secretary or Equivalent
Town/City/County Clerk
Th/ej~' oregoi/n,~g//7inst ent was acknow,l~e///dged befor~e/me this L~tl~day o-f/'~~-M.(.vlP~ X611. \
by ' 0 \ • as ~ /~,Cn~df?~l / of~/(H~' J2fih~~~~yds-L
c /~ /~
oFFlcl,u seu /~'iri~Di Gf~ ~.~1//n,l~
^. caao,t a rt~ava Notary Public
.~, ;ra ..., : ~ ~ .,, 115162 f-V Q o~~
MY COYM~sG~Urv ExPigES Aua 6, 2002 My Commission expires:
0621/95
2821 F.vpf
(10/14/941