2003-07-28_REVISION - M1986076

• Permit No: M1986076
• IBM Index Class Name: Revision
• Doc Date: 7/28/2003
• Doc Name: Submittal
• From: DGMC
• To: DMG
• Type & Sequence: AM3
• Media Type: D
• Archive: No

TATE OF COLOIZ~~O
DIVISION OF MINERALS AND GEOI~~~~ C~ R ^
Department of Natural Resources IF
Denver,C ;o~adoJ0203215 f0A' ~CANN/NG RECEIVED __
DIVISION O F I
Phone: [phone] JUL 2 ~ 2003 M [ N E RA L S
FAX: [phone] & '
Division d Minerals and Geolo GEOLOGY ~
DESIGNATED MINING Kt E C L A M A 7 I O N f
MI NING•SAFETY.
LIMITED IMPACT (110d) OPERATION
RECLAMATION PERMIT APPLICATION FORM Bill pwens
Governor
Greg E. N/alcher
Executive Director
CHECK ONE: _ New Application (Rule t.a)
_ Conversion Application prate 1.1 t)
Michael B. Long
Amendment Applicationptwetso<t.top DivisionDo-ecror
Permit # M- / 9 - 8~' -~ (provide for Amendments and Conversions of existing permits)
The application for a Limited Impact (110d) Designated Mining Operafion Reclamation Permit contains three major pazts: (1) the application form;
(2) Exhibits A-J, Exhibit L, Exhibit T, the Geotechnical Stability Exhibit, theEmergency Response Plan, and Addendum I, as required by the Office,
and outlined in Rules 6.1, 6.2, 6.3, 6.4.20 6.5, 8, and 1.6.2(1)(6); and (3) the application fee. When you submit your application, be sure to include
one (1) signed and no[azized Grav Orieinal and one (1) copy of [he application form, two (2) copies of Exhibits A-J, Exhibit L, Exhibit T, the
Geotechnical Stability Exhibit (Rule 6.5), the Emergency Response Plan (Rule 8), and Addendum 1 (Rule 1.6.2(1)(6)), as required, and a check for
the application fee described under (4) below. Exhibits should ~ be bound or in 3-ring binders; maps should be folded to 8 2" X 11" or 8 2" X
14" size. To expedite processing, please provide dte information in the forma[ and order described in this form.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, all information described below.
AnpltcanUoperator or company name (name to be used on permit): Qy~dmex~ Gu/c~r !/Irw~.ta CfI. ,ft t71 ,~fe
1.1 Type of organization (corporation, partnership, etc.):.SOIB ~ro,Q;f rE/`
L2 LR.S. Tax ID No. or Social Security Number: S$S- G ~ '(089
2.
3.
Operation name (pit, mine or site name):
Permitted acreaee (new or existin¢ site):
.~~
3.1 Change in acreage (+)
Total Acreage in Permit Area
~ 4.
~ 5.
^6.
Fees: (Rule 1.5)
4.1 New Application
4.2 Atendment Fee (operations existing as of 06/30/94)
A.3 Amendment Fee (operations permitted from 07!01!94)
9.9 permitted acres
'~ i ~ 7 acres
~~_ acres
$2,500.00 application fee
X1.500 00 application fee
X2,000.00 application fee
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
with an application fee of 2 500.00 (Rule 1.11.2(2)).
Primary commodities to be mined: ~0 ~~ -S/~uNl~
Type of minin¢ operation: ~ Surface _ Underground _ In-situ