2004-05-26_REVISION - M1991083

• Permit No: M1991083
• IBM Index Class Name: Revision
• Doc Date: 5/26/2004
• Doc Name: Conversion Appl
• From: Seifert Construction
• To: DMG
• Type & Sequence: CN1
• Media Type: D
• Archive: No

-6-
9. Anmratly, ou the anivasacy date ofpemrit issumoe, you must su>anit as aumral fee as spedfied by Statute, acct
ao eomud report which inclttdoa a map describing the aaage affcetod and the saet~e tedaimed ro dete (ffthere sin
dtangea Brom the provious year), arty moniDoring roQ~ by dre Reclamation Phm ~ be submitted aommlly as the
mmiverwrydateo~ftheperaoitapproval Amualfasaroforthepreviousyeerapamitisheld. Forexempk,apetmit
with the eaoiversay date of July 1, 1995, the minuet fee is for die period of July 1, 1994 though Jutw 30, 1995.
Faihne to submit your annual fee and report by the permit aaniversaty date mdy result in a civil penalty, invocation of
yoarpemriyaodforfeitmeofyourfinancialwmromy. Uisyavrespooaibility>asthepermittee,tomYiraretopayyour
amnia! ke to the Offine until the Bomd releases yuu from y«a total rodamstion respaoer'bility.
u~ 10. :thesigaiogrepreswtativeisautlnriaedtosignthisdoamrntaodapocaa
of attorney (pr~nvided by the partner(s)) mphariziog the sigmpm of the reprpeotative is attachod to this application.
Permit Con~dias: Plaae road and ioiml Ibis oooditian. in the space provided, to admowiedge that you understand yon
obligation. If you do nit uodastaod yea obligation thin please contact this Office for s full exphmetiaa
At~artablespt7tiseapillofaaytmrieorhemrdoussubstmx(inductntgspiDsafpeUalamptt~ktslwithinthe
~" miaedLodpamitereanportabktomryDivisimoftlieCaloradolkparlmartofPublicHeahhaodtheFavinmmeat,
the Natieoal Rapoma Cwter, the Colorado Emageiry Phuuung Commission, mry local Fmergeay Planning
Camminian, lop! FmerBeoiy Planing t„ammittce, or the State Oil lospaxor. The Mme Operator shall notify the
Division of Minerals and Geology (DMG} of a reportabh; spill within the mined land permit aroa using the same
timefizne tegtmed by the Permit, licatse, awtice, BGwrta, rule err regulatim govanhrg the reporting ofthe spill to the
other approyriate agea~y. Notice of a repatabk spill sMli be FAXod>p: Mioerala Program Supervisor, Division of
Minerals and Geology, FAX [phone]. The FAX shall include s pll-bade number ~ a respeasibk campaay
official far DMG staff to uao a s contact.
~AOTE TO COMMENTORSlOBJECTORS:
It is L'kdy these will be additions, chm;ges, and dektiona to this docmxotpria w final decision by the Office. Therefore, ifyou
have soy oammeats err emncansyoumustcmtactthe applicamorthe Offuxprior wthedecisiondate sothmyouwill Imaw what
d>nages may have bees made to the application documeat.
The Office ie sot albwed to consider , ~adeas thry are writteq and recaved prig to the ead of the public comment
period. You should ooetact the applipnt for the final date of the public t period.
If you have queatiae abed the Mined I.nod Recimnation Board sad Office's review and dccrsim err appeals process, you may
correct the Office at [phone].