PERMFILE49486

• Permit No: M2002003
• IBM Index Class Name: Permit File
• Doc Date: 1/28/2002
• Doc Name: TOPAZ MT GEM MINE FN M-2002-003 RECEIPT 110 2 HARD ROCK/METAL MINING RECLAMATION PERMIT APPLICATION
• From: DMG
• To: WALT RUBECK
• Media Type: D
• Archive: No

F COLORADO
DIVISION OF MINERALS AND GEOLOGY
Depan menl of Natural Resources
1313 Sherman $t., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
JAN 1 7 2002
HARD Rocx/METAL MINESDi~ision ~f Minorels and GeoloAY
~I~~~
DEPARTMENT OF
NATURAL
RESOURCES
LIMITED IMPACT OPERATION 110(2)) Roy ROmer
RHCLAMATION PERMIT APPLICATION FORM Governor
lames S. Lochhead
/X ~ f ~ !'~ r1 ~ ~ E~ecuirve Dnedor
\VI \ (~ V L~ V ~ Michael B Long
Dlvis~on Director
BECK ONE: New Application (Rule 1.9) Conversion Application (Rule 1.11)
Permit # M- - - (provide for Conversions of existing permits)
ze application for a Limited Impact (110(2)) Mining Operation Reclamation Permit contains three
ajor parts: (1) the application form; (2) Exhibits A-J, Addendum 1, any sections of Exhibit S
zd Geotechnical Stability Exhibit, as required by the Office, and outlined in Rules 6.1, 6.2,
.3, 6.4.19 and 6.5; and (3) the application fee. When you submit your application, be sure to
~clude one (1) sinned and notarized Grev 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
tability Exhibit), as required, and a check for the application fee described under (4) below.
Khibits should NOT be bound or in 3-ring binders; maps should be folded to 8 1/2" X 11" or
1/2" x 14" size. To expedite processing, please provide the information in the format and order
ascribed in this form.
GENERAL OPERATION INFORMATION
Type or print clearly, in the apace provided, all information described below.
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A licant o stator or co an name Hamel to be use on ermi/t, ~~~ I~IO~ ~ ~~
_~ n ~ r r, , i, L ., ,. iJ ~. / ~. ~-L r L _o .r Y /~.. ._-f T~ ,. r ,.. P / i
V '-~
1.1 Type of organization (corporation, partnership, etc.
)
: p
C(I?~ ~ D,'t /~_~L
iO
1.2 I.R.S. Tax ID No. or Social security
um
x
ber: '
/
}
S
c
~
C
7 - //
Y ~ J r ~
~.
7
7
d
~
~
A
Operation name (nit, mina or site name) /C7 UC~..Z ~
~
i
~
-}
/I'l,vc-
~ ~ ~'~1~f9 ~
1/1
~
/~// / /~Qi
Permitted acreage: /`
7 ' _S permitted acres
Fees:
4.1 New Application
5875.00 application fee
4.2 Conversion Fee (from 110d to 110(2), Rule 1.11.2(2)) 5875.00 application fee
Primary commodities to be mined: / Z
Name of owner of the subsurface rights of affected land:
i /
Name of owner of the surface of affected land: ~~ 0~ 97l! ~ C~r•'P'S'f
a. Nam of th holds of any
~~z. ~~ ~~~~~
Type of mining operation: ~ S
JAN 2 8 2002
RE~;~" ~'F~i
Division of Minerals and Geology
easements on the affected land:
Underground In-situ