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STATE OF COLORADO <br />D)VIStON QF RC~CLAMATfON, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman 5#., Room 215 <br />Denver, Colorado 80203 <br />Phone: 1303} 866-3567 <br />FAX: 1303} 832-8106 Y <br />LL~IITED Ei1~IPACT OPERATION (110(2)) <br />FEB 2 ~ 2008 gPC1,AMATION PE1ZI1-IIT <br />GRAND JUI~C71ON FIELD OFFICE APPLICATION FORM <br />DIVISION OF <br />RECI.ANIATIOiV MI?IING & SAFETY <br />CHECK ONE: New Application (Rule 1.4) Conversion Application ()rule i . i I ) <br />Permit # Ivi-_ (provide for conversions of existing permits) <br />COLORADO <br />D I Y I S 1 0 N O F <br />lt)+CLAMATION <br />MINING <br />SAF ITY <br />Bill Ritter, Jr. <br />Governor <br />Harris D. Sherman <br />Executive Director <br />Ronald W. Cattanq <br />Division Director <br />Natural Resource Trustee <br />The application for a Limited Impact Designated Mining Operation Reclamation Permit contains three rr>ajor parts: (1) the application <br />form; (2) Exhibits A-J, any required sections of Exhibit S and Geotecltnical Stability Exhibit, as required by the Office, and outlined in <br />Rules 6.1, 6.2, 6.3, 6.4.19 and G.S; and (3) the application fee. When you submit your application, be sure to include one (1) signed and <br />notarized originat and one (l) copy of the application form, two (2) copies of Exhibits A-J, appropriate sections of 6A.19 Exhibit S and 6.5 <br />(Geotechnical Stability Exhibit), as required, and a check for th#e application fee described tinder (4) below Extubits should not be bound <br />ar in a 3-ring binder, maps should be folded to 8 1/2" X I l" or 8 t/2" X 14" size. To expedite processing, please provide the information <br />in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearty, in the space provided, alt information described belovr <br />i. Applicant/operator or company nart>s< Ename to be used on the pe rmit}; Nuvemco <br /> 1.1 ~'Pe of organization (corporation, partnership, etc.): LLC. <br /> Last Chance ~~ 3 & ~ 4 <br />2. Operation nartce (nit. mine ar site name): <br />3. Permitted acreage )new or existine site): 8.83 permitted acres <br />4. Fees: <br /> 4. l ?~Tew Application $i,00ti.00 application fee <br /> 4.2 Amendment Application (from l.l(}(2}} <br /> ~.3 ~t)d1YU'r5r{31# l'ee (from I it3d tt) ~ lfl{2}, {ltu)C l.I 1;2{~~~} $f.725,flEE Ct)11YersIO#3 fetx <br />5 primary ~ott~rrw triers} to be mined: uranium and vanadium __^r _____________ ___ <br />6. Name of owner to the surface of affected land: Bur eau of Land Management _~ ~ ~_ <br />7. Name of owner to the subsurface rights of affected rand: Nuvemco ,.LLC . <br />8. 'Ivvpe of mining aneration: ._,,._____ Stuface _~^ Underground _ $' . In-situ <br />Office of Once of <br />Mined Land Reclamation Denver • Grand )unction Durango Alive and Inactive Mines <br />