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e ~.c <br />COLORADO DIVISION OF MINERALS AND GEOLOGY <br />', ,a~G „• 1313 Sherman Sveet, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />APPLICATION FORM ~~~~ 1 Z ZOO1 <br />RENEWAL OF A VALID, EXlSTlNG PERMIT <br />TO CONDUCT MINING IN COLORADO Division of MineralsBGeology <br />This form is an application for successive renewal of a valid, existing permit to conduct surface or <br />underground mining and reclamation activities or other surface coal mining and reclamation <br />operations in Colorado pursuant to C.R.S. 34-33-1Of, et seq. This application form is designed to <br />revise and update the application form currently included in your permit application. The right of <br />successive renewal applies only to lands and activity which were permitted during the previous <br />term. Extensions of the permit area and significant new activity within the permit area are subject <br />to the review procedures applicable to new permit applications, in accordance with Rule <br />2.O8.5(1)(c) and 2.08.4. <br />For a renewal application to be deemed complete by the Division pursuant to C.R.S. 34-33-109(71, <br />an applicant must submit: (1) all information as specified on this application form; (2) a copy of the <br />newspaper notice; 13) evidence that a liability insurance policy will be provided for the proposed <br />period of renewah and 14) five reproducible copies of the permit renewal application with original <br />signatures.' <br />r federal mines, a copy of the renewal application must be submitted to all agencies on the <br />deral agency mailing list at the same time the application is submitted to the Division, and proof <br />of distribution must be submitted to the Division.. Copies of renewal pages modified during the <br />review process must be distributed in the same manner, along with proof of distribution. Proof of <br />distribution must be submitted prior to implementation of the renewal. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly the appropriate information as listed below. Supplemental sheets may be used <br />as necessary. Such sheets must be attached to the form and referenced or keyed to the numbers <br />on the form. <br />1. Permittee: H-6 COAL COMPANY <br />2. Name of Operation: HAYDEN fl1LCH MiNF <br />3. Permit Number (same as current permit number): C - ~ g, - ~ ~~ <br />4. Type of Revision: R N Renewal Number: 0 4 <br />~. Application Submittal Date: Q ~ / 2 S / lZ.1 <br />