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0 <br />• <br />• <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman SL, Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866 -3567 <br />FAX: (303) 832 -8106 <br />REGULAR (112d) DESIGNATED MINING OPERATION <br />RECLAMATION PERMIT <br />APPLICATION FORM <br />CHECK ONE New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit. No. M- 1 977 493 (provide for amendments and conversions of existing permits) <br />The application for a Regular (112d) Designated Mining Operation Reclamation Permit contains three major parts: (1) the application form; <br />(2) Exhibits A -T, Geotechnical Stability Exhibit, the Emergency Response Plan, and Addendum 1, as required by the Office, and outlined in Rules <br />6.1, 6.2, 6.3, 6.4.19, 6.5, 8.0, and 1.6.2(l)(b); and, (3) the application fee. When you submit your application, be sure to include one (1) signed and <br />notmized original and four (4) copies of the application form, five (5) copies of Exhibits A -T, Rule 6.5 Geotechnical Stability Exhibit, the <br />Emergency Response Plan, Addendum 1, and a check for the appropriate application fee (described under Section (4) on Page 2). Exhibits should <br />not be bound or in a 3 -ring binders; maps should be folded to 8 Y2" X 11" or 8 'A" X 14" size. To expedite processing, please provide the <br />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. Awl)canttoperator or company name (name to be used on permit) <br />Climax Molybdenum Company, Climax Mine <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />1.2 I.R.S. Tax ID No. or Social Security Number: 13-611-8696 <br />2. Operation name (pit, mine or site name) Climax Mine <br />3. Permitted acreage (new or existing site) 4638.8 P ermitted acres <br />3.1 Change in acreage ( +) 3269.2 acres <br />7908.0 <br />3.2 Total acreage in Permit area acres <br />[ COLORAD Dtvts10N 0 <br />RCL <br />EAMATION <br />MINING <br />SAFETY <br />Bill Ritter, Jr. <br />Governor <br />Harris D. Sherman <br />Executive Director <br />Ronald W. Cattany <br />Division Director <br />Natural Resource Trustee <br />Office of <br />Mined Land Reclamation <br />Denver • Grand function • Durango <br />Office of <br />Active and Inactive Mines <br />