PERMFILE114514

• Permit No: M1997064
• IBM Index Class Name: Permit File
• Doc Date: 8/29/1987
• Doc Name: HARD ROCK METAL MINES LIMITED IMPACT OPERATION 110 2 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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~. ' Departm~ento7JOM~~~~rce~ j
F 1373 ShErrnan St., Room 275
~ ~ Denver, Cotorzdo 80203
e ~' ~ Ptrone: {303) $66.3567
FAX: [phone]
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LIMITED I
R6CLAMATI01
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`; .CHECK ONE: yaw Application (Rule 1.~
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Permit # M-~,_-~~
.The application for a Limited Impact (12:0
major parts: (1) the application form;
and Oeotechnical Stability Exhibit, as r
f, 6.3, 6.4.19 and 6.5; and (3) file applicat
include one (1) s•~me~and notarized Grec
~: {2) copies of. Exha.bits~ A-S, approp~aate
ability Exhibity, as required, and a ci
'~~xttibits should NOT ba bound or in 3-ri
} 8 1/2" X 14" size. To expedite processinc
• described in this form.
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RECEIVED
AUO 2 8 ~ggy
ROC(C/M13TAL MINe~iv(sion of Minerals & Geobgy
'JPACT OPERATION 110(2))
PERMIT APPLICATION FORM
1 VSIl V.LtLlJ..
RESOURCES
Roy Romer
Governor
tames S. Lochhead
Executive Director
Michael B. long
Division Director
) ~ Conversion Application (Rule 1.11)
_ (provide for Conversions of existing permits)
)) Mining Operation Reclamation Permit contains three
1 Exhibits A-J, Addendum 1, any sections of Exhibit S
u~red by the Office, and outlined in Rules 6.1, 6.2,
in fee. When you submit your application, be sure to
( 'nal and one (1) copy of the application form, two
actions of .6.4.19 (Exhibit S), and 6.5 (Geotechnical
;k for the application fee described under (4) below.
f binders; 'maps should be folded to 8,1/2" X il" or
please provide the information in the format and order

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., Type of print Clbarly, is the ep
•.odmocss=c..zv.sz=aaea~zze=azeczevcsa=:
1_ AtaDl3 o stater or eOmnaay. name
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.~sr~~n~ ~>u~-~~ ~N ~. s
1:1 Type 'of organization (corpora
1.2 I.R.S. Tax ID No. Or Social
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i 2. Operation name (Dil:, mine or eiCe t
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3. Permitted acreatre•
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4. F$as:
4.1 New Application
4.2 Conversion Fee (from 110d to
5. Ptitttarv commodities ieo be manrd.:
6. Name of owner of the subsar£gce

a. xames of the holders of any
2ATi0N INFORMATION
provided, all iaforlnatioa described below.

partnership, etc.): ~ L C
y Number: a~Z7".3lt~T~3~
/. `9 permitted acres
87 .OO ap ].ication fe ~,
(2}, Rule 1.11.2(2)) S87$.o0 application fee
ffected land: Jrf1(i T~ f .G COL.~ip~Q a
tea: s7'AT~ f1F C©IJJ,RA_ ~- o
easements on the affected land:
w :8. Tg~a~~mf tm.nina ~ropls~abon: ~, Su; ace ,~ Unjjdecgrotl~rtd in-situ
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