2008-08-21_REVISION - M1978091UG

• Permit No: M1978091UG
• IBM Index Class Name: REVISION
• Doc Date: 8/21/2008
• Doc Name: Amendment application
• From: Gault Group Inc.
• To: DRMS
• Type & Sequence: AM3
• Email Name: RCO
• Media Type: D
• Archive: No

TATE
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
2T
DESIGNATED MINING
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Q40 117a
LIMITED IMPACT (110d) OPERATION
LORADO
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COLORADO
DIVISION OF
RECLAMATION
MINING
SAFETY
Bill Ritter, It.
Governor
RECLAMATION PE ?C TIOt Harris D. Sherman
Executive Director
A04-3 Ronald W. Cattany
Division Director
CHECK ONE: New Application (Rule 1.4) X Amendment Application (Rule g or I lfttural Resource Trustee
Conversion Application (Rule 1.11)
Permit # M-19 7 8. 0 91- UG (provide for Amendments and Conversions of existing permits)
The application for a Limited Impact (110d) Designated Mining Operation Reclamation Permit contains three major 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(l)(b); and (3) the application fee. When you submit your application, be sure to
include one (1) signed and notarized Original and one (1) copy of the application 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 NOT be bound or 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. Applicant/operator or company name (name to be used on permit): LKA International Inc.
1.1 Type of organization (corporation, partnership, etc.): Corporation
1.2 I.R.S. Tax ID No. or Social. Security Number: 91-1428250
2. Operation name (pit, mine or site name): Golden Wonder
3. Permitted acreage (new or existint' site): 3.5 pemrittedaaes
3.1 Change in acreage (-) 6 .4 -- acres
Total Acreage in Permit Area 9.9 acres
4. 1?ees: (Rule 1,5)
4. I dew Application S2?875AQ, applwarion fee
41 Atrien lnlent Fee (operations existing as of 06I_10194) iS ,725(10 applicat un fee
43 Amendment Fee (operations permitted from 07101 94) g2 00.00 application fee
4.4 After July 1, 1995, to convert a 110(1), 110(2) or a 110 to a I I0(d), a new application form for a 110d must be submitted, along
with an application fee of Z 8$ , 7.5.00 (Rule 1.11.2(2)).
5. Primary commodities to be mined:
6, live of mining operation: Surface X . Underground in--slat
Office, of
Mined Land Reclamation Denver • Grand Junction • Durango Office of
Active and Inactive Mines