PERMFILE118052

• Permit No: M2005060
• IBM Index Class Name: Permit File
• Doc Date: 8/17/2005
• Doc Name: Reclamation Permit Application Form
• From: DMG
• To: Weld County
• Media Type: D
• Archive: No

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~ `7~,~ 7. The boundaries of the permit boundary azea must be marked by monuments or other markers that are cleazly
visible and adequate to delineate such boundaries prior to site disturbance;
~. 8. It is a provision of this permit that the operations will be conducted in accordance with the terms and conditions
listed in your application, as well as with the provisions of the Act and the Mineral Rules and Regulations in effect at
~~~~ the time the permit is issued.
~1`/,s , 9. Anmrally, on the anniversary date of pemtit issuance, you must submit an annual fee as specified by Statute, and
an annual report which includes a map describing the acreage affected and the acreage reclaimed to date (if there are
changes from the previous year), any monitoring required by the Reclamation Plan to be submitted annually on the
anniversary date of the permit approval. Annual fees are for the previous year a permit is held. For example, a permit
with the adversary date of July 1,1995, the annual fee is for the period of July 1, 1994 through June 30,1995. Failure
to submit your annual fee and report by the permit anniversary date may result in a civil penalty, revocation of your
permit, and forfeiture of your financial warranty. It is your responsibility, as the permittce, to continue to pay your
armual fee to the Office until the Boazd releases you from your total reclamation responsibility.
~~ 10. For~rmt venture/oartnership peanittee: the signing representative is authorized to sign when document and a
power of attorney (provided by the partner(s)) authorizing the signature of the representative is attached to'this
application
Pervrrk Condition: Please read and initial this condition. in the space provided, to acknowledge that you understand your
obligation. If you do iwt understand your obligation then please contact this Office for a foil explanation.
~ 1 A reportable spill is a spill of any toxic or hazardous substance (including spills of petroleurn products) within the
mined land permit area reportable to a~ Division of the Colorado Department of Public Health and the Environment,
the National Response Center, the Colorado Emergency Planning Commission, arty local Emergency Planning
Commission, local Emergency Planning Committee, or the State Oil Inspector. The Mine Operator shall notify the
Division of Minerals and Geology (DMG) of a reportable spill within the mined land permit area using the same
timeframe required by the permit, license, notice, statute, Wile or regulation governing the reporting of the spill to the
other appropriate agency. Notice of a reportable spill shall be FAXed to: Minerals Program Supervisor, Division of
Minerals and Geology, FAX [phone]. The FAX shall include acall-back number of a responsible tympany
official for DMG staff to use as a contact.
It is likely there will be additions, changes, and deletions to this document prior to final decision by the Office. Therefore, if you
have any comments or wncems you must contact the applicant or the Office prior to the decision date so that you will ]mow what
changes may have been made to the application document.
The Office is not allowed to consider comments, unless they are written, and received prior to the end of the public comment
period. You should contact the applicant for the final date of the public comment period.
if you have questions about the Mined Land Reclamation Board and Office review and decision or appeals process, you may
contact the Office at [phone].