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of-cow <br /> COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> * * 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br /> ' /a76 <br /> RECEIVED <br /> APPLICATION FORM FEB 2 3 2022 <br /> RENEWAL OF A VALID, EXISTING PERMIT <br /> TO CONDUCT MINING IN COLORADO DIVISION OF RECLAMATION <br /> MINING AND SAFETY <br /> This form is an application for successive renewal of a valid, existing permit to conduct surface or <br /> underground mining and reclamation activities or other surface coal mining and reclamation operations in <br /> Colorado pursuant to G.R.S. 34-33-101, et seq. This application form is designed to revise and update <br /> the application form currently included in your permit application. The right of successive renewal <br /> applies only to lands and activity which were permitted during the previous term. Extensions of the <br /> permit area and significant new activity within the permit area are subject to the review procedures <br /> applicable to new permit applications, in accordance with Rule 2.08.5(1)(c) and 2.08.4. <br /> For a renewal application to be deemed complete by the Division pursuant to C.R.S. 34-33-109(7), an <br /> applicant must submit: (1) all information as specified on this application form; (2) a copy of the <br /> newspaper notice; (3)evidence that a liability insurance policy will be provided for the proposed period of <br /> renewal; and (4) five reproducible copies of the permit renewal application with original signatures. <br /> For federal mines, a copy of the renewal application must be submitted to all agencies on the federal <br /> agency mailing list at the same time the application is submitted to the Division, and proof of distribution <br /> must be submitted to the Division. Copies of renewal pages modified during the review process must be <br /> distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted <br /> prior to implementation of the renewal. <br /> GENERAL OPERATION INFORMATION <br /> Type or print clearly the appropriate information as listed below. Supplemental sheets may be used as <br /> necessary. Such sheets must be attached to the form and referenced or keyed to the numbers on the <br /> form. <br /> 1. Permittee: Coors Energy Company ("CEC"or"Coors") <br /> 2. Name of Operation: Keenesburg Strip Mine <br /> 3. Permit Number(same as current permit number): G - 1981- 028 <br /> 4. Type of Revision: R N Renewal Number: 8 <br /> 5. Application Submittal Date:5_/7-/ 2021 <br />