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STATE OF COLO&ADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman SL, Room 215 <br />Denver, Colorado 80203 COLORADO <br /> <br />Phone: (303) 866-3567 DIVISION or <br />RECLAMATION <br />FAX: (303) 8324106 BARD ROCK/METAL MINING MINING <br /> <br />REGULAR OPERATION (112) SAFETY <br />RECLAMATION PERMIT APPLICATION FORM RECEIVED <br />CHECK ONE: ? There is a File Number Already Assigned to this Operation APR 2 9 2011 <br />© <br />-?- New Application (Rule 1.4.5) Amendment Application (Rule 1.10) GRAND JUNCTION FIELD OFFICE <br />DIVISION OF <br />L!!? i Conversion Application (Rule 1.11) RECLAMATION MINING, SAFETY <br />Permit # M- 983 -__0l I _ (provide for amendments and conversions of existing permits) <br />The application for a Regular Operation Reclamation Permit contains &= major parts: (1) the application form; (2) Exhibits A -S, <br />Geotechnical Stability Exhibit and Addendum 1; and, (3) the application fee. When you submit your application, be sure to include <br />one (1) completed, signed and notarized gray original and one (1) copy ofthe completed application form, two (2) copies of Exhibits <br />A-S, the Geotechnical Stability Exhibit, and Addendum 1, and a check for the application foe described under Section 4 below. <br />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 <br />processing, please provide the information in the format and order described in this fors. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ag information described below. <br />1. Applieant/operator name: Mt. Elbert Mining Co., L.L.C. <br />1.1 Type of organization (corporation, partnership, etc.): corporation <br />2. Operation name (pit, mine or site name): Willow Creek <br />3. Permitted acreage (new or existing site): <br />3.1 Change in acreage (+ or -) <br />32 Total acreage in Permit area <br />4. Fees: <br />4.1 New Application <br />4.2 New QuarryApplicatiou <br />4.3 Milling Application (Non-DMO) <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (act by statute) <br />9.5 permittedacres <br />32.94 acres <br />42.44' acres <br />$2,156.00 applicationfee <br />$2,674.00 quarry application <br />$3,565.00 milling application <br />51,783.00 amendment fee <br />$1,725.00 conversion fee <br />S. Primary commoditie(s) to be mined: gold <br />6. Name of owner of surface of affected land: Mt. Elbert Mining Co., L.L.C. <br />7. Name of owner of subsurface rights of affected land: Mt. Elbert Mining Co., <br />If 2 or more owners, refer to Exhibit O. <br />8. Type of mining operation: X Surface Underground In-situ <br />Office of office of <br />Mined Land Reclamation Denver • Grand Junction r Durango Active and Inactive Mines