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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 COL s RA D O <br />DIVISION O F <br />Phone: (303) 866 -3567 RECLAMATION <br />FAX: (303) 832 -8106 HARD ROCK/METAL MINING MINING <br />REGULAR OPERATION (112) SAFETY <br />RECLAMATION PERMIT APPLICATION FORM <br />CHECK ONE: F] There is a File Number Already Assigned to this Operation Am-( <br />® New Application (Rule 1.4.5) F Amendment Application (Rule 1.10) bk[Z_E�&M P "><-,7f <br />Conversion Application (Rule 1.11) "15 $C'R I VI. <br />Permit # M- 1977 - 215 - (provide for amendments and conversions of existing permits) 1 <br />The application for a Regular Operation Reclamation Permit contains three 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 of the completed application form, two (2) copies of Exhibits <br />A -S, the Geotechnical Stability Exhibit, and Addendum 1, and a check for the application fee 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 form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />1. Applicant/operatorname: Rio Grande Silver, Inc. PO BOX 610 Creede, Co. 81130 <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />2. Operation name (pit, mine or site name): Bulldog Mine <br />3. Permitted acreage (new or existing site): <br />431.9 <br />permitted acres Y <br />3.1 Change in acreage (+ or -) <br />+136.1 <br />acres V <br />3.2 Total acreage in Permit area RECa m) <br />568.0 <br />acres <br />4. Fees: <br />4.1 New Application JUL 16 2013 <br />$2,156.00 <br />application fee <br />4.2 New Quarry Application <br />4.3 Milling Application (Non -DMO) DMSION OF RECLAMATION <br />$2,674.00 <br />$3,565.00 <br />quarry application <br />milling application <br />4.4 Amendment Fee MINING AND SAFETY <br />$1,783.00 <br />amendment fee <br />4.5 Conversion to 112 operation (set by statute) <br />$1,725.00 <br />conversion fee <br />5. Primary commoditie(s) to be mined: Silver, Lead, Zinc <br />6. Name of owner of surface of affected land: Refer to Maps <br />7 <br />8. <br />Name of owner of subsurface rights of affected land: Refer to EXillbit O <br />If 2 or more owners, refer to Exhibit O. ` <br />Type of mining operation: <br />Office of <br />Mined Land Reclamation <br />Surface X \i <br />Underground <br />V\k o. % I <br />Denver • Grand Junction • Durango <br />Office of <br />Active and Inactive Mines <br />