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OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY L.--C <br />Departownt of Natural Resources <br />1313 Sherman 5t., Room 115 ?? <br />Denier, Colorado 90203 COLORADO <br />Phone: (303) 866-3567 p pUra y Z Q 1Q DIVISION FAX: 003) 832-8106 /(/jSlry9p ?Q Mi °n ofR? C, 0 LIMITED FACT OPERATION??j,d c/ate ice <br />RECLAMATION PERMIT Safe y Dn, Bill Rbw, Jr. <br />Govenwr <br />APPLICATION FORM <br />ltorrb D. 5ibrman <br />X AMENDMENT EvaaMve D1JW or <br />Ranaw W. CAN" <br />Division Director <br />CHECK ONE: New Application (Rule 1.4) Conversion Application (Rule 1.11) Naps) Rnnum Twice <br />Permit # M-1979 _ 181 (provide for conversions of existing permits) <br />The application for a Limited Impact Designated Mining Operation Reclamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits A -J, any required sections of Exhibit S and Gcotochaical Stability Exhibit, as required by the Office, and outlined m <br />Rules 6.1, 6.2, 6.3, 6.4.19 and 6.5; gn¢ (3) the application fee. When you-submit your application, be am to include one (1) sited and <br />notarized original and one (1) copy of the application fors, two (2) copies of Exhibits A -J, appropriate sections of 6.4.19 Exhibit S and 6.5 <br />(Geotechnical Stability Exhibit), as required, and a check for the application fee described under (4) below. Exhibits should not be bound <br />or in a 3-ring binder, maps should be folded to 8 1/2" X 11" or 81/2" 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 clearly, in the space provided, all information described below <br />1. AppliewWoperator or company name mania to be used on the permit): Mount Sneffels Mining Company, LLC <br />1.1 Type of organization (corporation, partnership, etc.): Limited liability company organized in State of CO. <br />2. Operation na )nit, mine or site name): Ruby Trust Mine <br />3. Permitted ac a )new or exkdne site): <br />4. <br />Fea- <br />4.1 Now Application <br />2.0 permitted acres <br />51.006.00 application fee <br />4.2 AmendmeatApplication (from 1.10(2)) $661.00 amendment fee <br />4.3 Conversion Fee (from 110d to 110(2), (Rule 1.11.2(2)) $1.725.00 conversion fee <br />5. PdmmY commodidels) to be mined: Silver and Gold <br />6. Name of owner to the surface of affected land: Mount Sneffels Mining Company, LLC <br />7. Name of owner to the subsurface riehb of affected lands Mount Sneffels Mining Company, LLC <br />8. Type of mbrlm operation. ? Surface ?1 Underground ? In situ <br />office Of office of <br />Mined Land Reclamation Denver • Gmd (unction • Durar?o Active and Inactive Mines