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STATE Cif COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural ResOUrces <br />1313 Shenrtan St, Room 215 <br />Denver, Co(oracio110203 <br />Phone: (303) 866-3567 <br />FAX: (363)832-8106 <br />RARD ROCKJMETAL MINING <br />REGULAR OPERATION (112) <br />RECLAMATION PERMIT APPLICATION FORM <br />,CHECK : , . There is a File Noniber Alretly Assigned to this Operatio n <br />New Application (Rule 1.4.5) La Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />k 1977 _ 215 _ • (provide for amendments and conversions of exis' ting permits) <br />The application for a Regular Operation Reclamation Permit contains three majorparts: Mare application florin; (2) Fsxhibits A-S, <br />GeoteChnical Stability Bill and Addendum 1; and, (3) the application fee. When you submit yo *diem*, be sure toinelude <br />one (1) completed, signed and notariaed gray original and one (1) topy'of the ecenpleMdaPp*Ii011 fOrOt, IWO ( copies of Exhl, .1?its <br />A-S, the Geoteclmical Stain* Exhibit, and Addendurn 1, and a Cheek for the apPliCation fee deactihed under Section 4 below. <br />Exhibits should Ng' be bound or in a 3-ring binder; maps should be folded to 8 10 X 11" or 8 vin X, 14" size. To expedite <br />processing, please provide the information in the format and order described in this' form. <br />. . <br />. . _ <br />Type or print clearly, In the space provided, all inforinatiOndeacrilied below. <br />4. Fees: <br />4.1 <br />4.2 <br />4.3 <br />4.4 <br />4.5 <br />• • '9 9 • •3•09 e • <br />rki <br />1. Applicant/operator name : Rig OffirKie Sliver, Inc. <br />1.1 Type of Orgariikation (corporation, Partiershig, eto.): Corporation <br />2. OPerition name (pit, mine or site name): Bulldog Mine <br />3. Permitted acreage (new or existing site <br />5.1 Change in acreage (+ or -) <br />3.2 Total acreage in Permit area <br />New Applicatibn <br />Neie QuanyApplicatioo <br />Milling Application (Non-DMO) <br />Amendment Fee <br />ConVersion to 112 operation (set by statute) <br />5. Primary commoditle(s) to be mined: SiiVer, Lead, Zinc <br />B. Name of owner of surface of affected land: Refer to Maps <br />7. Name of owner of subsurface rights of affected land: Refer to Exhibit 0 <br />Office of <br />Mined Land Reclamation <br />If 2 or more owners, refer to Exhibit 0. <br />8. Type of mining operation: <br />Surface X Underground <br />permitted acres <br />acres <br />acres <br />355.9 <br />501:5 <br />$2456.00 application fee <br />$4t..4:411 quarry application <br />$17113:06 amendment fee <br />Si.115.0 conversion fee <br />In-situ <br />Office of <br />Denver Grand Junction • Durango Active and Inactive Mines <br />