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<br />DEPARTMENT OF NATURAL RESOURCES <br />Davitl M. Getchee, Executive Director <br />MINED LAND RECLAMATION DIVISION <br />DAVID C. SHELTON, Director <br />Richartl D. La ~~~e~~~D <br />Governo~ } Application Form fora Permit <br />1997 tG - .y <br />JAN 2 7 Conduct Coal Mining in Colorado <br />MIIVtU ~r`J nn1 <br />Appl~~jprp,~tANb~11~~iSV~face or underground coal mining activities or other <br />sur ace coal mining and reclamation operations in Colorado pursuant to CRS, <br />34-33-101, et seq. <br />For an application to be deemed complete by the Division pursuant to CRS, <br />34-33-103(5) and Rule 1.04(30), an applicant must: (1) supply all information <br />as specified on this application form; (2) submit five reproducible copies of <br />the permit application with original signatures; and (3) pay the appropriate <br />fee required by Rule 2,01.6. <br />Please note that this form is only a listing of general category requirements <br />and does not constitute a checklist of detailed permit application <br />requirements. A finding of completeness should not be interpreted to imply <br />adequacy of an application, Additional information not listed on this form <br />may be required for adequacy dependinD upon tfie individual circumstances of an <br />application. , <br />~~ ~ This form consists of two major parts: (1) a section entitled General <br />Operation Information and (2) a section entitled Application Requirements. <br />Specs is instructions far filling in the necessary rn~rmatton~or e- acr~- <br />section appears immediately below the title of each section. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly the appropriate information as listed below. <br />Supplemental sheets may be used as necessary, such sheets must be attached to <br />the form and referenced or keyed to the numbers on the form. <br />1. Application Number (to be filled in by the Division): C-~ 7 - p _7 ~7 <br />2, Permittee L A P L A T A C O A L C O R P O R A <br />T I O _N_____ <br />3, Mine Or Site Name L A P L A T A # 1 <br />4, Current Permit Type: C 0 ' <br />5, Application Submittal Date 0 1/ 2 ,~/ 8 7 <br />6, Application Fee: E_ 1 1 2 ~ Incremental Fee Schedule: <br />~~ 7, Commodity Ftined: C 0 ~ 3S <br />1~ <br />423 Centennial Building, 1313 Sherman Street <br />:~,--y, -:---------- -----~-- - - <br />Denver, Colorado 80203 Tel. (303) 866-3567 <br /> <br />