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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Depanment of Natural Resources <br />1313 Sherman SL, Room 215 <br />Denver, Colorado 80203 COLORADO <br /> <br />Phone: (303) 866.3567 DIVISION OFF <br />RECLAMATION <br />FAX: (303) 8324106 MINING <br /> <br /> SAFETY <br />DESIGNATED MINING <br />LIMITED IMPACT (1104) OPERATION Bill Ritter, Jr. <br /> <br />RECLAMATION PERMIT APPLICATION FORM Crovemor <br /> Harris D. Slienrun <br /> Executive Director <br /> <br /> <br />CHECK ONE <br />N <br />My Ronald W. Campy <br />Division Director <br />: <br />ew Application (Buie 1.4) <br />Amendment Application (Rule 1.8 or 1.10) <br />Q Natural Resource Trustee <br />Conversion Application (Rule 1.11) <br />Permit # M- 2005 050 (provide for Amendments and Conversions of existing permits) <br />The application for a Limited Impact (i l Od) Designated Mining Operation Reclamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits A-J, Exhibit L, Exhibit T, the Geotechnical Stability Exhibit, the Emergency Response Plan, and Addendum 1, as required by <br />the Office, and outlined in Rules 6.1, 6.2, 6.3, 6.4.20 6.5, 8, and 1.6.2(1)(b); and (3) the application fee. When you submit your application, be sure <br />to include one (1) signed and notarized Orisinal and one (1) copy ofthe application form, two (2) copies of Exhibits A-J, Exhibit L, Exhibit T, the <br />Geotechnical Stability Exhibit (Rule 6.5), the Emergency Response Plan (Rule 8), and Addendum I (Rule 1.6.2(1)(b)), as required, and a check for <br />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 <br />14" size. To expedite processing, please provide the information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />1. Anylicant/overator or company name (name to be used on permit): Rimrock Exploration & Development, Inc. <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />1.2 I.R.S. Tax ID No. or Social Security Number: <br />2. Ov eration name (pit, mine or site name): JBird <br />3. Per mitted acreage (new or existing site): 7.5 permitted acres <br /> 3.1 Change in acreage (+) acres <br /> Total Acreage in Permit Area 7.5 acres <br />4. Fees: (Rule 1.5) <br /> 4.1 New Application $2,875.00 application fee <br /> 4.2 Amendment Fee (operations existing as of 06130/94) $1,725.00 application fee <br /> 4.3 Amendment Fee (operations permitted from 07/01/94) $2300.00 application fee <br /> 4.4 After July 1, 1995, to convert a 110(l), 110(2) or a 110 to a 110(d), a new application form for a 1 I Od must be submitted, along <br /> with an application fee of 875.00 (Rule 1.11.2(2)). <br />5. Pri mary commodities to be mined: Uranium and Vanadium <br /> Q <br />n <br />n <br />6. Typ e of mining operation: <br />Surface <br />Underground <br />In-situ <br />Office of Office of <br />Mined Land Reclamation Denver • Grant Junction • Durango Active and Inactive Mines