2003-08-08_REVISION - M1986076

• Permit No: M1986076
• IBM Index Class Name: REVISION
• Doc Date: 8/8/2003
• Doc Name: Amendment Application
• From: DGMC
• To: DMG
• Type & Sequence: AM3
• Media Type: D
• Archive: No

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DIVISION OF MINERALS AND GEOLOGY - ~r ~ ~tJ
Department of Natural Resources AUG 0 8 2003 /
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone] Division •f Minerals and Genlo~y
FAX: [phone]
FILE COPY DESIGNATED MINING
fOR SCANNI~ATION PEARMIT APPL CATION FORM
CHECK ONE: ,~ New Applicaflon (hate t.a)
DIVISION OF
MINERALS
GEOLOGY
PECLAM ATION
MI NING•SAFET7
Bill Owens
Governor
Greg E. 1h'alCher
Executive Director
X Michael n. Long
,Amendment Application (Rule t.a or t.to) Division Direaur
_ Conversion Application (Mute t.tt)
Perini[ # M- 1 9 - 8 6 - 0 7 6 (provide for Amendments and Conversions of existing permits)
The application for a Limited Impact (110d) Designated Mining Operation Reclamation Perini[ contains three atajor parts: (1) the application form;
(2) Exhibits A-J, Exhibit L, Exhibit T, the Geotechnical Stability Exhibit, the Emergency Response Plan, and Addendum 1, 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)(b); and (3) the application fee. When you submit your application, be sure to include
one (1) siened and notazized Grav Orieinal and one (1) copy of the applicaton 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)(b)), as required, and a check for
the application fee described under (4) below. Exhibits should ~ be bound m in 3-ring binders; maps should be folded to 8 2" X 11" or 8 2" X
14" size. To expedite processing, please provide the information in the format and order described in this form
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, all information described below.
1. ApoGcant/operator or company name (name to be used on penttitl: D . G . M. C . / JAMES BENDER ~
1.1 Type of organization (corporation, paztnership, etc.): SOLE P RO P R I E T O R
1.2 LR.S.TaxIDNo.orSocialSecurityNumber; 585-62-6893
2. Operation name (pit, mine or site name):
3. Permitted acrea¢e (new or existing site):
3.1 Change in acreage (+)
Total Acreage in Permit Area
4. Fees; (Rule 1.5)
4.1 New Application
INCAS MINES
4.2 Amendment Fee (operations existing as of 06130194)
4.3 Amendment Fee (operations permitted from 07(01/94)
4 - 7 4 permitted acres
+ . 6 7 acres
9 • 9 acres
$2.500.00 application fee
$1.500.00 application fee
$2.000.00 apglication 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)).
S. Primary commodities to be mined: G OI. D S IL V E R
6. Type of mining operation: R Surface _ Underground _ In-situ