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STATE.OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY - 1 <br />Department of Natural Resources / <br />1313 Sherman St., Room 215 , <br />Denver, Colorado 80203 A4 Av COLORADO <br />O r l' DIVISION OF <br />Phone: (303) 866.3567 O 4r G <br />40 RECLAMATION <br />FAX: (303) 832-8106 Q06 90 F®,® MINING <br />LIMITED IMPACT OPERATION (11n0?l?jRe ?a ®c SAFETY <br />RECLAMATION PERMIT as9 y sill Ritter, Jr. <br />APPLICATION FORM Governor <br />Harris D. Sherman <br />X AMENDMENT Executive Director <br />Ronald W. Cattany <br />Division Director <br />CHECK ONE: New Application (Rule 1.4) Conversion Application (Rule 1.11) Natural Resource Trustee <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 Geotechnical Stability Exhibit, as required by the Office, and outlined in <br />Rules 6.1, 6.2, 6.3, 6.4.19 and 6.5; and (3) the application fee. When you submit your application, be sure to include one (1) signed an <br />d <br />notarized 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 />(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 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 INFORMATION <br />Type or print clearly, in the space provided, all information described below <br />Applicant/operator or company name (name 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 name (pit, mine or site name): <br />3. Permitted acreage (new or existing site): <br />4. Fees: <br />4.1 New Application <br />Ruby Trust Mine <br />4.2 Amendment Application (from 1.10(2)) <br />2.0 permitted acres <br />$1,006.00 application fee <br />$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. Primary commoditie(s) 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 rights of affected land: Mount Sneffels Mining Company, LLC <br />8. Tempe of mining operation: ? Surface W1 Underground ? In-situ <br />Office of Office of <br />Mined Land Reclamation Denver • Grand )unction • Durango Active and Inactive Mines