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Application Form for a Fermit <br />to <br />Conduct Coal Mining in Colorado <br />nr •. <br />State of Colorado ~(Yiit-~~~-Wir~d'r'?i ~~::i~sGApplication to conduct surface <br />,• Department of 7latvral Resources or underground coal mining <br />~ Y.IN£D LAND RECLAMATION DIVISION '~r^~ ~ o activities or other surface coal <br />2323 Sherman Street, Room 423 J Ul~t 2986 mining and reclamation operations <br />Denver, Colorado 80203 (303)839-3567 in Colorado pursuant to CRS 1973, <br />r°~~ ~~ ~ .. ~ ~:i"' "'A:~'^.34133-10Z, et. seo. <br />{:Sid. S;~~ti.~. rj ?J'...ra7 {:..~5~- • ~.~ <br />.'; ~ ~:, <br />For an application to be deemed complete by the Division pursuant to CRS 1973, <br />34-33-103 (5) and Rule 1.04 (30), an applicant must: (1) supply all information,as <br />specified on this application form; (2) submit five reproducible copies of the perrv:t <br />application with original signatures; and (3) pay the appropriate fee required by <br />Rule 2.01.6. <br />• <br />L~ <br />Please note that this form is only a listing of general cateoory reouirements and <br />does not constitute a checklist of detailed permit application reouirements. A <br />finding of completeness should not be interpreted to imply adeouacy of an appli- <br />cation. Addtional information not listed on this form nay be required for adequacy <br />depending upon the individual circumstances of an application. <br />This farm consists of two major parts: (Z) a section entitled General Oceration <br />Information and (2) a section entitled Anolication Reouirements. Specific instruc- <br />tions for filling in the necessary information for each section appears immediately <br />below the title of each section. <br />GENERAL OPERATION INFORPfATION <br />Sype or print clearly the appropriate information as listed below. Supplemental <br />sheets may be used as necessary, such sheets must be attached to the form and re- <br />ferenced _or keyed to the numbers on the form. <br />1. Name of operation Munger Canyon .. <br /> (Pit, mine or site name) <br />2. Name of Applicant Salt Creek Mining Company <br /> (Name to be used on permit - <br /> the permittee) <br /> Phone: (303) 242-5120 <br />2a. Address and phone number of 751 Horizon Court <br /> local offices Grand Junction, CO 81506 <br />2b. .Address and phone number of Phone: (303) 242-5120 <br /> general offices. 751 Horizon Court <br /> Grand Junction,CO 81506 <br />3. Name and phone number of person I John M. Walters <br /> staff members should contact (303) 242-5120 <br />4. Parent Corporation, if any Appendix F <br /> <br />(Include name and address) S <br /> <br />~. <br />