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application a-orm for a Permit Revised 3/86 <br />eo <br />• Conduct Coal Mi.-ring in Colorado <br />State of Colorado dpalication to conduct surface <br />Lepar`~rent of Nat::ra1 Resources _ or underground croal mining <br />• :!INFO LLYD RECL7MATION DI9ISION ~, ' ~ _ '' _~_ ~; ~ ~ activities or other surface coal <br />1313 Sheraaa Street, Rooa <13 ~- mi.^.ivg and reclamation operatsons <br />.7enve:, Colorado 80203 (303)839-3567 -n Colorado oursuarst to CRS 5973, <br />AP5 i 5 ?580 34-33-1 OZ, et. sue. <br />r'or an application to oe deesred eomirl~ze`~~y't:ia Dibis-'on''oursuant to GAS 1973, <br />34-33-103 (5) and Rule 1.04 (30);'~i'f•a~~l_'tant-tihh£>>:. (1) supply all inforation as <br />specified on this application fors; (1) rlbmit five repreducible copies of the perait <br />applicstion with original sirnat:sres; and (3) pay the appropriate fee required by <br />Ruie 1.01.6. <br />Please note that this form is only a listing of general cateyvey requirements and <br />toes not constitute a checklist of detailed pe_~7it application requirements, d <br />find~.ng oz completeness should not be interpreted to isply adequacy of an appli- <br />estion. dddticnal inforsation not listed on this fora may be required for sdeouacy <br />depending upcn the individual cscumstances of as appl_cation. <br />This fora cansists of tap aa;or arts: (1) a section enti~'ed Genera' Oteration <br />':for-cation and (1) a section e.:tit_'ed aeolicstion Recuirements. specific izstzc:c- <br />:ions for fi5ling :.n the necessary information fez each section apaears inured-ate.:y <br />be1e~ c:=e tit5e of each serion. <br />G"~NERJli. OP5RATION ~FORXAT?all <br />• Tape cr print clearly t::e aaprceriate infcraation as --'fisted below. su?elemental <br />sheets -iay be used as necessary, such sheets crust be attached .o tie =crc and re- <br />=_r:nced or .keyed to :he z.;mbe=s on toe °oza. <br /> <br />1. :Tame of Oce=ation <br /> (Pit, wine or site name) Terror Creek Loadout <br />1. :Jame of Applicant <br /> (:came to be aced on perait - Terror Creek Loadout <br /> the ee_rsittee) <br /> I Terror Creek Company <br />1a. Address ana phone number of <br />- P.O. Box 117 <br /> I <br />local offices Paonia, CO 81428 (303) 929-5855 <br />1b. Address and phone nuarber of Terror Creek Company ' <br /> cenersl offices. 299 East Ocean Blvd. <br /> Lone Beach, CA 90802 (213) 432-3440 <br />3. name and ,:none :caber o? person I Fredrick R. Chilton <br /> sta'f :nesters should ccntact (303) 929-5855 <br /> <br />.. <br />parsnt Cor xra ticn, .f any I <br /> (=~c'cde name and addrsssl Not Applicable <br />I <br />