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Form 2920-1 FORM APPROVED <br />(November 1984) UNITED STATES OMB NO. 1004-0009 <br />DEPARTMENT OF THE INTERIOR "•• ' ' ' ~ ~'' E~irc~: AuQUSI 73, x986 <br />BUREAU OF LAND MANAGEMENT - "' ~ FOR BLM USE ONLY <br />LAND USE APPLICATION AND PERMIT!'" I ~ ~ ~~' ~ ~ Application Number <br />Sec. 302(b) of P,L. 94-579, October 21, 1976, 43'trS.'C'1732 <br />- 1','. .~~`=~I';`-NT Permit Number C-45753 <br />-, 1123 RENEWAL <br />APPLICATION ~ °~°~"""' ~._-~ <br />1. Name (first, middle initial, and last) Address (include zip code) Phone (include area code) <br />COLOWYO COAL COMPANY I 5731 State Highway 13 1303-824-4451 <br />Meeker, Colorado 81641 <br />2. Attach map or sketch showing public lands for which you are applying <br />3. Proposed date(s) of use: from Original date of approval to Estimated final reclamation bond <br />or July 10 1987 release in 1993 <br />4. Give legal basis for holding interest in lends in ^ Resident - ®Partnership <br />the et ate of Cnl nrarin <br />(Check appropriate box and explain.) Colowyo Coal Company 18 a ^ Corporation [] County <br />general partnership between W.R. Grace 6 Co, fi M.A. ^ Local Govemment ^ State Govemment <br />Hanna Co. Colowyo holds Federal Coal Leases D-034365,^ GU1Br <br />C-35874 6 C-29224 is included in the approved area under Permit #C-81-019 b BLM Land Use <br />5. Are the leads now improved, occupied, or used? ®Yes ^ No (IJ "yes," describe improvements and purposes, <br />idenriJy users and occupants.) Land is adjacent to Federal Coal Lease D-034365 is included in <br />a^proved permit area under Permit IlC-81-019 and BLM Land Uae Permit #C-45753. <br />~• !ou need access to the land? ^Yes ®No (Describe needed or existing access) <br />_.ljacent lands are owned by Colowy Coal Company. <br />7a. What do you propose to use the lands for? Permanent excess spoil disposal as per CMLRD Permit <br />#C-81-019. Lands will be reclaimed per the approved reclamation plan of the above permit. <br />Use of the lands will continue through the bond release period, estimated to be 1993. <br />Approximately SO-60,000 yds of reclaimed overburden is located on the site. <br />b. What improvements and/or land development do you propose? (To complete application processing, engineering <br />and construction drawings may 6e required.) No additional improvements are proposed other than in <br />accordance with CMLRD Permit #C-81-019. <br />c. What is the estimated capital d. What is the source of water for the proposed use? <br />cost? <br />S 35,000 None required. <br />' ':FY That the information given by me in this application is true, complete, and correct to the best of my knowledge <br />ar- mot. ~ and is given in good faith. <br />,~ <br />l <br />-, l r ~ / 990 <br />- d <br />~t (Signature of Applicant) (Date) <br />Title 18 U.S.C. Section 1001, may:rs it a cnr- (or any person knowingly end willfully to makr ' • any department or agency u( the United <br />States any false, [fictitious, or fraudulent sl ants or representations as to any matter wit}: s jurisdiction. <br />