2012-06-28_PERMIT FILE - M2012032 ‎(14)‎

• Permit No: M2012032
• IBM Index Class Name: PERMIT FILE
• Doc Date: 6/28/2012
• Doc Name: 112D ‎(1)‎ APPLICATION FORM
• From: STAR MINE OPERATIONS, LLC
• To: DRMS
• Email Name: RCO
• Email Name: GRM
• Media Type: D
• Archive: No

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STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources RECEIVED
1313 Sherman St., Room 215
Denier, Colorado 80203
JUN
COLORADO
o t s t
[RECLAMATION t v e
Phone: [phone]
FAX: [phone]
Division ofRecan�l
MINING
Io
SA&Y
REGULAR (112d) DESIGNATED MINIWARATION
RECLAMATION PERMIT
Bill Ritter, Jr.
Governor
APPLICATION FORM
Harris D. Sherman
Executive Director
Ronald W. Caeany
Division Director
El
Natural Resource Trustee
CHECK ONE:
New Application (Rule 1.4.5) Amendment Application (Rule 1.10)
Conversion Application 1.11)
(Rule
Permit No. M-
(provide for amendments and conversions of existing permits)
The application for a Regular (112d) Designated Mining Operation Reclamation Permit contains three major parts: (1) the application form;
(2) Exhibits A -T, Geotechnical Stability Exhibit, the Emergency Response Plan, and Addendum 1, as required by the Office, and outlined in Rules
6.1, 6.2, 6.3, 6.4.19, 6.5, 8.0, and 1.6.2(1)(b); ItA (3) the application fee. When you submit your application, be sure to include one (1) signed an
notarized original and four (4) copies of the application form, five (5) copies of Exhibits A -T, Rule 6.5 Geotechnical Stability Exhibit, the
Emergency Response Plan, Addendum 1, and a check for the appropriate application fee (described under Section (4) on Page 2). Exhibits should
not be bound or in a 3 -ring binders; maps should be folded to 8 '/3" X 11" or 8 '/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.
Apolicant/operator or company name (name to be used on permit):
Star Mine Operations, LLC
1.1 Type of organization (corporation, partnership, etc.): limited liability company
1.2 I.R.S. Tax ID No. or Social Security Number:
2. Operation name (pit mine or site name): Revenue Mine
3. Permitted acreage: (new or existing site) 34.19 permitted acres
3.1 Change in acreage ( +) acres
3.2 Total acreage in Permit area 34.19 acres
Office of Office of
Mined land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines