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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND W M <br />Deparormit of Nalraal Resources <br />1313 Shennan St, Room 215 <br />Dwwer, Cobrado 811203 <br />MAR +i <br />L <br />C O L O R.A D O <br />Div 1 s 1 o H o OF <br />Phone: (303) 8663567 RECLAMATION <br />FAX p03)8328106 1 <br />n at MINING <br /> ? <br />Wft <br />SW* <br /> <br />SAf V <br /> LEW= EWPACT OPERATION <br />110 <br /> ( <br />0) <br /> RECLAMATION PRRMTT 11111 RIW !r. <br /> APPLICATION FORM Governor <br /> firrb D.Shem m <br />EXK%Mw DMecor <br />Amendment (Rule 1.10) Renaw.cmm <br />? DWWen DbZCW <br />Conversion Application (Rule 1.11) Nahral Raw= Truaw <br />Permit # M-1981 185 (provide for conversions of aisting permits) <br />The application for a L=ted Impact Designated Mining operation Reclamation Permit contains throe major parts: (1) the application <br />form; (2) Exhibits A-), any required sections of Exhibit S and Geotoc):dW Stability Exhibit, as required by the Office, and outlined in <br />Rules 6.1, 6.2, 6.3, 6.4. 19 and 6.5; Md (3) the application fee. When you submit your application, be sure to include one (1) j=od and <br />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 <br />(Geotnchnical Stability Exhibit), as requited, and a check for the application fee described under (4) below. Exhibits should ggj be bound <br />or in a 3-ring binder, maps should be foWad to 8 1/2" X 11" or 8 1/2" X 14" size. To expedite processing, please provide the information <br />in the format and order described in this form. <br />. GENERAL OPERATION INF'ORMA'TION <br />i Type or print ckaNy, in the space provided, all Information described below <br />1. Awlicantlooerator or comnanv name (name to be treed on the Dermifl; Wildcat Mining Corporation <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />2. ODerationname (Dit.mIRegrdtg Mayday Mine and Mill <br />3. PumkW acreaste (new or esdsdina dts): 9.9 permitted acres <br />4. Fees: <br />4.1 Now Application 51.006.00 application fee <br />4.2 Amendment Application (from 1.10(2)) $661.00 <br />4.3 Conversion Foe (from 110d to 110(2), (Rule 1.11.2(2)) W726A conversion fee <br />5. $3mmT commoditlc(ei to be Wood: Gold, Silver <br />6. Nam ofowner to the surface of affected land; James M. Clements. Fairview Land Corporation <br />7. Name of owner to the subearfaee riahts of affected land: `tames M. Clements. Fairview Land Corporation <br />8. Type of minlm oneradon: ? Surface ? Underground ? In-aitu <br />office of Office of <br />Mired land Reclamation Denver • Grand luncdm • Duraw Active and Inactive Mina