_PERMIT FILE - M2001107

• Permit No: M2001107
• IBM Index Class Name: Permit File
• Section_Exhibit Name: EXHIBIT A LEGAL DESCRIPTION LOCATION MAP
• Media Type: D
• Archive: No

�. Stanuard :ndustr'ai Classinrodon SPC) Csde(s) '_or this =. iv- (iadude aD n our. n order of imnor,.mc-a.
x) 31
i
let~?ving.;¢rerun_ 7Se name of the :eo •:ping ar—(S). g di3aluge is :o a dkCi2 or Storm serer. ;iso incude zne
2me of.he uid=, eL:lVing '+PdT .j `orm water "'p-ainpd on sia, and run-oL` intro. I
landowners _eser-roir on proper*?
o- Desc:ire the inaustr.alatbviaeswbich take ,^ czansite. remove and stoc!cDii=_ fiLl material with
selt-loading scrapers. Stockviieamaterial load_Ainto belly dumps with Loader and haul
to adiacent con project
?. Other Environmental ?'nits_ Boer dais iaciiit-y =r=tly have anv vironmenwI permits, or is :t subiec p
regdadcra, -order zither of the :oilowiag proga-:ms?
No 'res ?ermic
a) Colorado Discharge?er nit System ZDPS or DES)
o) Colorado Aped lzad Rectainatrorl Board _ i aDnlied for
If des mciude Yff-RB ne=, maiver^.,arf dare
3tormwarer Management ?Ian (SN-W) siaaii:3e 7ragared germ o anpdcarion Ior coverage order a general
ne_rnait, and he following ce_-tiiication cigted_ See the .j vW-W rauiremems h Abpeudi;A.
"I carrfy under penairy of law hat: oompiete Stoimvf= Wmnag==t P'_an_ in corm Hant` win Axvendi; A of
'tee appliezacn, h= been prepared for my �tedry. Based on my ineuiri of the person or persons -amp manage
:he System. ar those persons directly responsible :or gathering he information, he TWN- e is. to :he beet of my
:cowledge and belief. sae, ac^urare, and ,)mDi=. i am aware hat here are Sigrincant neenaities `or £nisei+
.'_.' bf7inng _ompieaon of said SW yfP, including the aossmility of-me and impr_somnent."
signantrs f Date Signed
Greg Nelson Mining Supervisor
Name (printed) Tt[e
9. Signature of Applicant tlePily responsible Person)
"I -.Md y under penalty of law that 1 lave pesonaily =mniued and am hmiiiar with the iniormation submi¢ed in
:his application and ail attachments and dum, bared on my inquiry of those individuals i**unediiaraiy responsible for
obtaining the information, I ueieve than the information is true, ac_--a= and compiere. I am aware hat there are
AgaXicant penalties for suamitting false iniorra ion, including the possfbilky of five and towrisonmenE."
=� II
-STgnanue of Ter=Anoiicaat Date Signed
Gre% Nelson `lining Supervisor
Name (printed) %rle
�3hg