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STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Depanmenl of Natural Resources R~~E~VED ~~~ <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: 13031 866 3 567 NOV ~ 16 1994 <br />FA7(: 13031 832-81 06 APPLICATION FORM FOR A PERMIT DEPARTMENT OI <br />CONDUCT COAL MINING IN COLORADplvisi0n Of Minerals 8 Gaology NA7'URAI <br />RESOURCE' <br />Application to conduct surface or underground coal mining activities or other surface coal Roy Ramer <br />mining and reclamation operations in Colorado pursuant to C.R.S. 34-33-101 et seq. c°"e`"°` <br />lames 5. lochhead <br />Eattuliv¢ Dirttlor <br />For an application to be deemed complete by the Division pursuant to C.R.S. Michael g. Long <br />34-33-103(5) and Rule 1.04(30), an applicant must: (1) supply all information as Division Director <br />specified on this application form; (21 submit five reproducible copies of the permit <br />application with original signatures; and (3) pay the appropriate fee required by Rule 2.01.6. For <br />federal mines, please refer to the Federal Agency Mailing List available from the Division and provide <br />one copy to each of the agencies on that list, at the same time the application is submitted to the <br />Division. Proof of distribution t0 the federal agencies should accompany the application. Copies <br />of application pages modified during the review process must be distributed in the same manner, <br />along with proof of distribution. <br />Please note that this form is only a listing of general category requirements and does not constitute <br />a checklist of detailed permit application requirements. A finding of completeness should not be <br />interpreted to imply adequacy of an application. Additional information not listed on this form may <br />be required for adequacy depending upon the individual circumstances of an application. After a <br />decision has been reached on this application, the operator must update the permit application on <br />file at DMG and OSM. For non-federal mines, one copy must be sent to OSM in Albuquerque, New <br />Mexico. <br />This form consists of two major parts: (1) a section entitled "Application General Operation <br />Information: and (21 a section entitled "Application Requirements." Specific instructions for filling <br />in the necessary information for each section appears immediately below the title of each <br />section. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly the appropriate information as listed below. Supplemental sheets may be <br />used as necessary; such sheets must be attached to the form and referenced or keyed to the <br />numbers on the form. <br />1 . Application Number (to be filled in by the Division): C - _ - - _ _ <br />2. Permittee: S E N E C A C 0 A l <br />- - - - - - - - - - - - - - - - <br />. C O M P A N Y <br />- - - - - - - - - - - - - - <br />3. MineJSite Name: Y 0 A S T M I N E <br />4. Current Permit Type: C O <br />