2011-04-08_REVISION - M1983011 ‎(6)‎

• Permit No: M1983011
• IBM Index Class Name: REVISION
• Doc Date: 4/8/2011
• Doc Name: Conversion application ‎(CN-01)‎ to a 112
• From: Mt. Elbert Mining Co., LLC
• To: DRMS
• Type & Sequence: CN1
• Email Name: DMC
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources ???
1313 Sherman St., Room 215 RE Cov DCOLORADO
oDenver, Colorado 80203 I? qy _ RECLAMATION
Phone: [phone] ?? 2?? 1UJ MINING
FAX: [phone] HARD ROCK/METAL MINING -
&-Division of ReclamatioUGULAR OPERATION (112) SAFETY
Mining and Safety
RECLAMATION PERMIT APPLICATION FORM
C ?D
CHECK ONE: El There is a File Number Already Assigned to this Operation APR 0 8 2011
F1 New Application (Rule 1.4.5) Amendment Application (Rule 1. QSlONF?
Conversion Application (Rule 1.11)
F
Permit '# M- - - (provide for amendments and conversions of existing permit's
'1983 011
The application for a Regular Operation Reclamation Permit contains three major parts: (1) the application form; (2) Exhibits A-S,
Geotechnical Stability Exhibit and Addendum 1; and, (3) the application fee. When you submit your application, be sure to include
one (1) completed, signed and notarized gray original and one (1) copy of the completed application form, two (2) copies of Exhibits
A-S, the Geotechnical Stability Exhibit, and Addendum 1, and a check for the application fee described under Section 4 below.
Exhibits should NOT be bound 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 in the format and order described in this form.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, all information described below.
Elbert Mining Co., L.L.C.
Mt
1. .
Applicant/operator name:
1.1 Type of organization (corporation, partnership, etc.): corporation
2.
Willow Creek
Operation name (pit, mine or site name):
3. Permitted acreage (new or existing site):
9.5
permitted acres
3.1 Change in acreage (+ or -) 110.5 acres
3.2 Total acreage in Permit area 120 acres
4. Fees:
1 New Application
4
$2,156.00
application fee
.
4.2 New Quarry Application $2,674.00
565.00
$3 quarry application
milling application
4.3 Milling Application (Non-DMO) 4
$1,783.00 amendment fee
4.4 Amendment Fee
4.5 Conversion to 112 operation (set by statute) $1,725.00 conversion fee
5. Primary commoditie(s) to be mined: gold
Mt. Elbert Mining Co., L.L.C. and US Forest Service
6. Name of owner of surface of affected land:
7. Name of owner of subsurface rights of affected land: Mt. Elbert Mining Co.,
If 2 or more owners, refer to Exhibit O.
8. Type of mining operation: X Surface Underground In-situ

Office of
Mined Land Reclamation Denver 9 Grand Junction.* Durango Office of
Active and Inactive Mines