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S TOTE OF COLOR400 RiC HnRD D. ~4MM,. Govr.~nnr <br />DEPARTMENT OF NATURAL RESOURCES <br />D. Mon[e Pascoe, Executive Director <br />MLNED LAND RECLAMATION <br />423 Centennial Building, 1313 Sherman Street <br />Denver, Coloratlo 80203 Tel. (303) 83&3567 <br />DATE: ~-/~-~I <br />NAME OF APPLICANT: <br />FILE N0.: C - 0`f~-g/ <br />III IIIIIIIIIIIII III <br />999 <br />David C. Shelton <br />Director <br />-'J~ue <br />This work sheet is used for the 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 below correspond to <br />the information categories listed in the Application for a Permit ~~ -, <br />to Conduct Coal Mining in Colorado. If a box is checked, then the <br />operator has met the requirement for Completeness for that category_ <br />If a box is not checked, then the operator has not met the require- <br />ment for Completeness for that category. The comment column will <br />identify the defieiency and what is necessary to correct it. <br />INFORMATION CATEGORY CO'~tMENT <br />1 ~ Name of Operation <br />2 Name of Applicant <br />2a Address and Phone of Local Office <br />Zb Address and Phone of General Office Np ~~-#~ <br />3 ~ Contact Person ?. /~ <br />ie.-~ ~/~r- S~u~ GHQ.. IIeM, <br />4 Parent Corporation <br />5 Name, Address and Phone of Operator r ~%1~1 G~ ~/` <br />6 Name and Phone of Resident Agent <br />7 . Current and Previous Permits ~ <br />8 Type of Mine <br />9 Surface Land Ownership <br />10 Mineral Ownership <br />11 General Location and Elevation <br />12 ~ County o caiHa~ `_s f~ <br />13 ( Public Office/Public Inspection Copy <br />