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DIVISION OF RECLAMATION, MINING AND SAFETY <br />Completeness Notices Checklist <br />Date: 3/20/2014 i'* <br />Operator: Steel Rose I, Inc. <br />Mine Name: Steel Rose 1 <br />Permit Number: M- 2006 -031 A �1 1 <br />✓ Operator Phillip Brueggeman <br />✓ Steel Rose I, Inc. <br />1960 W. Yampa Apt. A <br />Colorado Springs, CO 80904 <br />✓ Consultant Scott West <br />8023 d Street <br />✓ Colorado Springs, CO 80907 <br />County Planning Department <br />Specify County: Park <br />✓ County Commissioners <br />Specify County: Park <br />✓ ♦ Soil Conservation District <br />Specify SCD: Teller -Park <br />♦ Municipalities (If Applicable: Within 2 miles of Operation) <br />Specify: NA <br />✓ ♦ Army Corps of Engineers <br />Circle One: Colorado /Gunnison <br />' Frisco <br />Durango <br />Denver <br />Southern Colorado <br />✓ ♦ Division of Wildlife <br />Circle One: NW NE t SW SE <br />✓ ♦ Urban Drainage (If Applicable: Within 100 year floodplain — Adams, Arapahoe, Boulder, <br />Denver, Douglas and Jefferson counties) EPS Circle One: Y FN <br />✓ ♦ Air Pollution (Health Department) <br />✓ ♦ Historical Society <br />