PERMFILE59877

• Permit No: M1994117
• IBM Index Class Name: Permit File
• Doc Name: LIMITED IMPACT OPERATION 110 RECLAMATION PERMIT APPLICATION PACKAGE
• Media Type: D
• Archive: No

~ ^ r r '
~ LIMITED IMPACT OPERATION (0) RFCE~VED
RECLAMATION PERMIT
• APPLICATION FORM ~ Utl: 12 1994
CHBCK ONH: _~ New Application (Rule 1.4) Conversion Application (Rule 1.11)
nne~als & Geology
• Permit # M - (provide for co~1l~~Bib'h~ o existing permits)
The application fora Limited Impact Designated Mining Operation Reclamation Permit contains
three major parts: (1) the application form; (2) 8xhibite A-J, any required sections of
Exhibit S and Geotechnical Stability 8xhibit, as required by the Office, and outlined in
Rules 6.1, 6.2, 6.3, 6.4.19 and 6.5; and (3) the application fee. When you submit your
application, be sure to include one (1) eianed and notarized original and one (1) copy of the
application form, two (2) copies of 8xhibite A-J, appropriate sections of 6.4.19 Hxhibit S
~ and 6.5 (Geotechnical Stability 8xhibit), as required, and a check for the application fee
described under (a) below. Hxhibite should not be bound or in a 3-ring binder; maps should
be folded to 8 1/2" X 11^ or 8 1/2" X 14" size. To expedite processing, please provide the
information in the format and order described in this form.
GSNHRAL OPHRATION INFORMATION
Type or print clearly, in the space provided, all information described below.
1. Applicant/operator or eompany name (name to be used on permit):
1.1 a of organization (corporation, partnership, etc.): QOgtriR~a,^7i~.V
1.2 I.R.S. Tax ID No, or Social Security Numberl:I ~!~-X0.1=~~~
~ 2. Operation name (pit, mine or site name): COLA I~iLL MILL
3. Permitted acreage (new or existing site): permitted acres
3.1 Change in acreage (+ or -) acres
4. Fees:
4.1 New Application ~ 5875.00 application fee
~ 4.2 Conversion Pee (from 110d to 110 875.00 conversion fee (Rule 1.11.2(2))
5. Primary commoditie(s) to be mined: GuLD slLy
6. Name of owner to the subsurface rights of affected land: E~A/f.
7. Name of owner to the surface of affected land: _L),O,hL. Sn/G.
~ 8. Type Of mining operation: _ Surface _ IInderground /In-situ M~{,(,{N~
9. Location information. The center of the area where the majority of mining will
occur lies in:
coIINTy: floulde~
PRINCIPAL MERIDIAN (check one): / 6th (Colorado) _ 10th (New Mexico) _ Dte
SHCTION (write number): S 1~
~ TOWNSHIP (write number and check direction): T _L L/ North _ South
RANGE (write number and check direction): R /~_ _ Bast _ West
QUARTER SHCTION (check one): / NB _ NW _ SH _ SW
QUARTHR/QIIARTBR SHCTION (check one): J[ NH _ NW _ SB _ SW
GBNHRAL DESCRIPTION: (miles and direction frame nearest town and approximate
elevation) ,14'6 f'66T, /O fL~~F~~j BeuAnc~
• 10

Correspondence Information:
APPLICANT'/OPHRATOR (name, address,
Contact' s Name : ~ i/HY//e 7717N.a
Company Name: Q.D.~,rA1G.
Street: y!Y•~sli{lS/I~!/E~
City: Bp(t.I.DF,(~
State: C~ v D.L
Area Code: C-+D_;) _.
yY9-74~l6
and phone of name to be used on permit)
GEN.~Q.i ouJE.!/ ~ C Q Title: 17~.FJ146A/T
Telephone:
Code 9~P//2(.
•