REP15674

• Permit No: M1997032
• IBM Index Class Name: Report
• Doc Name: HARD ROCK METAL MINES LIMITED IMPACT OPERATION 110 2 RECLAMATION PERMIT APPLICATION FORM
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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STATE OF COLOR~yv
DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX:[phone]
HARD ROCB/MBTAL
REC~~ .-~u
QC?
DIY. OF MINERALS
DEPARTMENT OF
NATURAL
RESOURCES
LIMITBD IMPACT OPERATION 110(2)) Roy Romer
RECLAMATION PBRMIT APPLICATION FORM Governor
lames 5. Lochhead
Esecmive Director
Michael 8. Long
Division Director
CHECK ONE: X New Application (Rule 1.4) Coavereion Application (Rule 1.11)
Permit # M- - - (provide for Conversions of existing permits)
The application for a Limited Impact (110(2)) Mining Operation Reclamation•Permit contains three
major parts: (1) the application form; (2) Exhibits A-J, Addendum 1, any sections of Exhibit S
and Geotechnical Stability Exhibit, as required by the Office, and outlined in Rules 6.1, 6.2,
6.3, 6.4.19 and 6.5; and (3) the application fee. When you submit your application, be sure to
include one (1) sinned and notarized Grey Original and one (1) copy of the application form, two
(2) copies of Exhibits A-J, appropriate sections of 6.4.19 (Exhibit S), and 6.5 (Geotechnical
Stability Exhibit), as required, and a check for the application fee described under (4) below.
Exhibits should NOT be bound or in 3-ring binders; maps should be folded to 8 1/2" X 11" or
8 1/2" 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.
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1. Applicant/operator or company acme (name to be used on permit)•
International Uranium (USA) Corporation
1.1 Type of organization (corporation, partnership, etc.): corporation
1.2 I.R.S. Tax ID No. or Social Security Number:
2. Operation name (pit, mine or site name): Van 4 Shatft
3. Permitted acreage: 8.4 permitted acres
4. Fees:
4.1 New Application 5875.00 application fee
4.2 Conversion Fee (from 110d to 110(2), Rule 1.11.2(2)) 5875.00 application fee
5. Primary commodities to be mined: Uranium Vanadium
6. Name of owner of the subsurface rights of affected land: U.S. BLM
7. Name of owner of the surface of affected land: U.S. BI.M
a. Names of the holders of any recorded easements on the affected land:
County Road DD-19 San Piieuel Power oowerline
8. Tme of mining operation: Surface X Underground In-situ
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