PERMFILE44052

• Permit No: C1980004A
• IBM Index Class Name: Permit File
• Doc Date: 5/13/2002
• Section_Exhibit Name: APPLICATION FORM
• Media Type: D
• Archive: Yes

COLORADO DIVISION OF MINERALS AND GEOLOGY
13]3 Sherman Street, Room 215, Denver, Colorado 80203, [phone]

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APPLICATION FORM
RENEWAL OF A VALID, EXISTING PERMIT
TO CONDUCT MINING IN COLORADO
This form is an application for successive renewal of a valid, existing permit to conduct surface or
underground mining and reclamation activities or other surface coal mining and reclamation
operations in Colorado pursuant to C.R.S. 34-33-101, et seq. This application form is designed to
revise and update the application form currently included in your permit application. The right of
successive renewal applies only to lands and activity which were permitted during the previous
term. Extensions of the permit area and significant new activity within the permit area are subject
to the review procedures applicable to new permit applications, in accordance with Rule
2.08.51111c) and 2.08.4. Such changes will be handled by the Division as permit revisions, and
will be processed simultaneously with the application for renewal. Other changes to the permit will
be processed as technical revisions or minor revision in accordance with Rule 2.08.4.
For a renewal application to be deemed complete by the Division pursuant to C.R.S. 34-3 3-1 0917),
an applicant must submit: 111 all information as specified on this application form; (21 a copy of
the newspaper notice; (3) evidence that a liability insurance policy will be provided for the proposed
period of renewal; and (4) five reproducible copies of the permit renewal application with original
signatures.
For federal mines, a copy of the renewal application must be submitted to all agencies on the
federal agency mailing list at the same time the application is submitted to the Division, and proof
of distribution must be submitted to the Division. Copies of renewal pages modified during the
review process must be distributed in the same manner, along with proof of distribution. Proof of
distribution must be submitted prior to implementation of the renewal. For non-federal mines, a
copy of the application for which the Division has issued a proposed approval decision must be
submitted to the OSM Albuquerque Field Office IAF01, and proof of submittal to AFO must be
submitted to the Division prior to implementation of the renewal.
GENERAL OPERATION INFORMATION
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Type or print clearly the appropriate information as listed below. Supplemental sheets maybe used
as necessary. Such sheets must be attached to the form and referenced or keyed to the numbers
on the form.
4.
5.
Permittee: Grand Vallev Coal Company
Name of Operation: McClane Canyon Mine _
Permit Number (same as current permit numbed: C - $ ~ - ~ ~ ~
Type of Revision: R N Renewal Number: 0 4
Application Submittal Date: 0 1/ 0 6/ 9 6
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