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7 <br />•. i n i i ~ ~~ ~ .. ~.. ;. ~ •. , u.r nnmi n i nioa r.~.v~~••~. III Iiiilillliill III <br />ULI'AIIIMENi UI Nl1 TIIIIAL IIESOUFiCES• 999 <br />I1 Mnmr Pnsum, E.r•atl rvc Omelnr <br />111 IN i':U LAN U t{ L:(;LA111 A'1'lUN <br />473 Centennial Budding, 1313 Sherman SOeel <br />Denver, Colorado 60203 Tel. (303) 839.3567 <br />DA'f E <br />NAME 0 <br />/~O ~~' <br />F APPLICANT: <br />FILE NO.: <br />- -~ 1 <br />David C. Shelton <br />Director <br />This work sheet is used for tlTC completeness review conducted pur- <br />suant to the Colorado Surface Coal Mining Reclamation Act, C.R.S. <br />34-33-101 et seq. <br />Directions: The information categories listed ITClow correspond to <br />the information categories listed in the Application for a Permit <br />to Conduct Coal Plining in Colorado. if: a hex is checked, then the <br />operator has met the requirement for Completeness for that category. <br />If a box is not clieckecl, then the operator has not met the require- <br />ment for Completeness for that catefory. The comment column will <br />identify the defiei.ency and what is necessary to correct it. <br />INFORMATION CA"CEGORI" COh1MP.NT <br />] ~jy Name of Operation <br />2 ~ Name of Applicant <br />Za ~ Address and ('hone of hocal Office <br />Zb Address and Phone of General Office <br />3 Contact Person <br />4 Parent Corlioration <br />5 Name, Address and I'honc of Operator <br />6 ~ Name an d Phone of Resident Agent <br />7 Current and Previous I'enni is <br />8 (~ "fypc of Minc <br />9 j[~5urface Land Ownershi p <br />10 ~ Mineral O:ancrship <br />1 Genera] Location and lilevation <br />7. County <br />3 ~ Public OfficejPuhlic inspection Copy <br />