2010-10-14_PERMIT FILE - M2010054

• Permit No: M2010054
• IBM Index Class Name: PERMIT FILE
• Doc Date: 10/14/2010
• Doc Name: Revised 110 Application form for 9.85 Acres.
• From: Timothy D. Williams & Betty J. Williams
• To: DRMS
• Email Name: PSH
• Media Type: D
• Archive: No

-5-
Responsibilities as a Permittee:
Upon application approval and permit issuance, this application becomes a legally binding document. Therefore,
important requirements which you, as a permittee, should fully understand. These re
there are a number of
each require
uire
i
q
ment ,
Ple
ments are listed below. ase read and initial
n the space provided, to acknowledge that you understand your obligations. If you do not understand these
obligations then please contact this Office for a full explanation.
T'tv

GG?/ 1 • Your obligation to reclaim the site is not limited to the amount of the financial warranty. You assume legal liability
for all reasonable expenses which the Board or the Office ma
i
y
ncur to reclaim the affected lands associated with your
mining operation in the event your permit is revoked and financial warranty is forfeited;
2. The Board may suspend or revoke this permit, or assess a civil penalty, upon a finding that the permittee violated the
terms or conditions of this permit, the Act, the Mineral Rul
d
es an
Regulations, or that information contained in the
application or your permit misrepresent important material facts;
4? ?vv
3
. If your mining and reclamation operations affect areas beyond the boundaries of an approved permit boundary,
substantial civil penalties, to you as permittee can result;

rv
7/V-
4. Any modification to the approved mining and reclamation plan from those described in your a roved
requires you to submit a permit modification and obtai
pp application
N Y/ l ' / Yv n approval from the Board or Office;
5
7---- • It is your responsibility to notify the Office of any changes in your address or phone number;
U
6
•
pon permit issuance and prior to beginning on-site minim activity,
) trance of the mine
site, which shall be clearly visible from the access road, with the following inform
.
ti
a
on (Rule 3.1
12
a. the name of the operator;
b. a statement that a reclamation permit for the operation has been issued by the Colorado Mined Land
Reclamation Board; and,
c. the permit number.
f- L?
.T IL' 7. The boundaries of the permit boundary area must be marked by monuments or other markers that are clearly visible
and adequate to delineate such boundaries prior to site disturbance;

{ Gam/ 8. It is a provision of this permit that the operations will be conducted in accordance with the terms and conditions listed
in your application, as well as with the provisions of the Act and th

permit is issued.
e Mineral Rules and Regulations in effect at the time the
_
`I

!l/ 9• Annually, on the anniversary date of permit issuance, you must submit an annual fee as specified y Stu, and an
annual report which includes a map describing the acreage affected and th
t
e
e
e acreage reclaimed to date (i
her
ar
changes
from the previous year), any monitoring required by the Reclamation Plan to be submitted annually on the anniversary date
of the permit approval. Annual fees are for the previous
ear a
i
i
y
perm
t
s held. For example, a permit with the anniversary
date of July 1, 1995, the annual fee is for the period of July 1, 1994 through June 30, 1995. Failure to submit
fee and report by the permit anniv
our annu
l
y
a
ersary date may result in a civil penalty, revocation of your permit, and forfeiture of your
financial warranty. It is your responsibility, as the pernittee, to continue to pay your annual fee to the Office until the
Board releases you from
our t
t
l
l

/ y
o
a
rec
amation responsibility.
10
. For joint venture/partnership ermittee:the signing representative is authorized to sign when document and a power
of attorney (provided by the partner(s)) authorizing the si
nat
f
h
g
ure o
t
e representative is attached to this application.