REV88413

• Permit No: M1994118
• IBM Index Class Name: Revision
• Doc Date: 10/16/2003
• Doc Name: Application
• From: Fremont County
• To: DMG
• Type & Sequence: AM1
• Media Type: D
• Archive: No

-a-
Maps & Exhibits:
Submit two (2) complete, unbound copies of the following application exhibits:
6.3. I EXHIBIT A -Legal Description and Location Map
6.3.2 EXHIBIT B -Site Description
6.3.3 EXHIBIT C -Mining Plan
6.3.4 EXHIBIT D - Reclamation Plan
6.3.5 EXHIBIT E -Maps, to include the location of any recorded easements
6 3.6 EXHIBIT F -List of Other Permits and Licenses Required
6.3.7 EXHIBIT G -Source of Legal Right-to-Enter, to include holders of any recorded easements
6.3.8 EXHIBIT H -Municipalities Within aTwo-mile Radius
6.3.9 EXHIBIT I -Proof of Filing with County Clerk
6.3.10 EXHIBIT J - Proof of Mailing Notices of Permit Application
6.3.12 EXHIBIT L -Permanent Man-Made Structures
1.6.2(1)(b) ADDENDUM 1 -Notice Requirements (sample enclosed)
6.5 Geotechnical Stability Exhibit (as required)
i
Responsibilities as a Permittee:
Upon application approval and permit issuance, this application becomes a legally binding document. Therefore, there are a
number of important requirements which you, as a permittee, should fully understand. These requirements are listed below.
Please read and initial each requirement, in the space provided, to aclmowledge that you understand your obligations. If you do
not understand these obligations then please contact this Office for a full explanation.
~"I 1. Your obligation to reclaim the site is not limited to the amount of the fmancial warranty. You assume legal
liability for all reasonable expenses which the Board or the Office may incur to reclaim the affected lands associated
with your mining operation in the event your permit is revoked and financial warranty is forfeited;
~~y%( 2. The Board may suspend a revoke this permit, or assess a civil penalty, upon a fording that the pemrittee violated
the terms or conditions of this permit, the Act, the Mineral Rules and Regulations, or that information contained in
the application or your permit misrepresent important material facts; .
~~ 3. If your mining and reclamation operations affect areas beyond the boundaries of an approved permit boundary,
substantial civil penalties, to you as permittee can result;
~~ 4. Any modification to the approved mining and reclamation plan from those described in your approved application
requires you to submit a permit modification and obtain approval from the Board or Office;
~~ 5. It is your responsibility to notify the Office of any changes is your address or phone number;
~~ 6. Upon permit issuance and prior to beginning on-site mining activity, you must post a sign at the ertrance of the
mine site, which shall be clearly visible from the access road, with the following information (Rule 3.1.12):
a. the name of the operator;
b. a statement that a reclamation permit for the operation has been issued by the Colorado Mined Land
Reclamation Board; and,
c. the permit number.