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• <br />dpp_'ication Form for a Pernit <br />to <br />Conduct Coal Yi~inc in Colorado <br />State of Colorado <br />Department of :Vaturai Resources <br />XI9ED LAND RECSAMAIION DIVISION <br />13_'3 Sher'^°n Street, Room 423 <br />Denve_*, Colorado 80203 (303)8?9-3567 <br />Application to conduct surface <br />or underground roe: mininc <br />activities or other surface coal <br />miring and reclamation oceraciors <br />in Colorado pursuanc to C~S 1973, <br />34-33-101, et. s~o. <br />For an application to be deemed comalete by the Division pursuant to CRS 1973, <br />34-33-103 (5) and Rule 1.04 (30), an applicant must: (1) supply all infor_a ticn as <br />specified on this application fora; (1) submit _five reproducible copies of the penal[ <br />application airs original signatures; and (3) pay t^e appro ariate fee req•.sired bu <br />Rule 2.01.6. <br />?lease note thnt t.'sis form is only a listing of general category requirements and <br />does not constitute a checklist of detailed perm[ application requirements. A <br />:finding of COIDDSetPllesS should not be interpreted to imply adequacy of ar. app-'i- <br />caticn. Addtional i~fcrmation not listed on this fora may be required fcr adequacy <br />depending upon the individual circ•.:.-cstances of an aaoiication. <br />This fc-^.n consists of t~.v ma;or arts: (') a section. entitled General :ceration <br />* or..ation and (2) a section entitled Aeolication Requirements. Specific ins[ ;•c- <br />• [ions for f!_ling _n the necessary in forra cicn far each secticn appears i:etedia tely <br />below the tit_'e of eacy sect_on. <br />Gr tiERAI, OP~ 2A:ION .^.JPCRYAT1~'.Y <br />^ype cr print clearly t.'se approoziate information as listed below. Supplemen*_al <br />s.:eets ray be used as necessary, such sheets :mss[ be attacred to t.'^.e fcrti and r_- <br />.-'eronced orreved to the aurzbers cn tae form. <br />1. :lame of Operation Hawk's Nest [Rine with East and West <br />(?it, mine or site name) Portals <br />2. Vane of Applicant <br />!:lame to be used on permie - <br />the permittee) <br />ia. Address and phone number of <br />local offices <br />1b. Address and shone number of <br />general offices. <br />Western Slope Carbon, Inc. <br />Hawk's Nest 14ine <br />Somerset, Colorado 81434 <br />(303) 929-5815 <br />Western S ope Car on, nc. <br />315E 200 South/Post Office Box 1526 <br />Salt Lake City, Utah 84110/(801) 534-3556 <br />3. :tame and phone number of person <br />• staff members should contact <br />4. ?anent Corporation, if any <br />(Include nano and address) <br />Catherine Chachas <br />(801) 534-3470 <br />Northwest Coal Corporation <br />315 E 200 South <br />Salt Lake City, Utah 84110 <br />i <br />