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-5T E OF COLOIZ~DO <br />Roy Romer, Govei <br />DEPARTMENT OF NATURAL RESOURCES <br />MINED; LAND RECLAMATION DIViS10N <br />FRED R. BANTA, Dlnetor <br />Application Form fora Permit <br />t6 <br />Conduct Coal Mining irl"Colorado <br />Application to conduct surface or underground"coal mining activities or other <br />surface coal mining and reclamation operations in Colorado pursuant to <br />C.R.S. 34-33-101 et seg. <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. For Federal. mines 7 copies must be 'submitted to <br />OSM in Denver as soon as the application is deemed"cor~plete. <br />Please note that this form is only a listing of general category requirements <br />and does not constitute a checklist of detailed pen!lit application <br />requirements. A finding of completeness should not be interpreted to imply <br />adequacy of an apRlicai:fon. Additional information not listed on this form <br />may be required far adeg:lacy depending upon the individual circumstances of an <br />' application. After a decision has been reached on this application, the <br />operator must update the permit application, on file at MLRD and OSM. 'For <br />.non-Federal mines, one copy must be sent to OSM in Albuquerque, New Mexico. <br />This form consists of two mafor parts: (1) .a section entitled General <br />Operation Information and (2) a section entitled Application Requirements. <br />Specific instructions for filling in the necessary information for each <br />section appears immediately below the title of each section. <br />GENERAL OPERATION INFORMATION <br /> <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-references or keyed to the numbers on the form. <br />1.•" Application Number (to be filled in by the Dijrf sien): C-g ~"" ~ ~ <br />2. Permittee Hlmrock Coal Company, A Co1o;Tado`Corporaiion <br />3. Mine or Site Nnre: Rimrock Mine <br />4. Current Permit Type: C 0 <br />5. Application Submittal Date _ 2 / 1~/ 8~ <br />6. Application Fee: E 503.50 _ Incremental Fee Schedule: <br />7. Commodity Mined: C 0, A <br />423 Centennial Building, 1313 Sh:rrmun Street Denver, Colorado 80203-2273 ?el. (303) 866-3567 <br />