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iii iii <br />This work sheet is used for the completeness review conducted pur- <br />suant to ttie 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 Plining in Colorado. IC 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. 'fhe comment column will <br />identify the deficiency and what is necessary to correct it. <br />I NF(1RA1AT ION CATtiGORI' C0~1A11iN'f <br />1 Name of Operation <br />2 Name of Applicant <br />2a Address and Phone of Local Office <br />2b Address and Prone of General Office <br />3 Contact Person <br /> Parent Corporation <br />5 lame, Address and Phone of Operator <br />6 Name an d Phone of Resident Agent <br />7 Current and Previous Permits <br />8 L Typc of Minc <br />9 urface Land Ownership <br />LO ineral Ownership <br />ll eneral Location and filevation <br />i.2 County <br />i <br />13 Public Office/Public Inspection Copy <br />FILE NO.: C' <br />