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~_, ---- ~ REG~ aVE~ <br />4; Of c0~04 <br />-~~~~ DEC 1 51992 <br />• H o DEPARTMENT OF NATURAL RESOURCES <br />+ !~ „{ o (~ * David H. Getcnea. Executive Director ~1(JtV OF <br />'.,~;~' MINED LAND RECLAMATit~i(y~~~~~P~GY <br />DAVID C. SHElTO N, Dlreetor / <br />Richard D. Lamm / ;1' <br />Governor <br />Application Form for a Permit _~~ <br />to - <br />Conduct Coal Mining in Colorado ~.. <br /> <br />• <br />Application to conduct surface or underground coal mining activities or other <br />surface coal mining and reclamation operations in Colorado pursuant to CRS, <br />34-33-101, et seq. <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. <br />Please note that this form is only a listing of <br />and does not constitute a checklist of detailed <br />requirements. A finding of completeness should <br />adequacy of an application, Additional inforrla <br />may be required for adequacy dependinG upon the <br />application, <br />general category requirements <br />permit application <br />not be interpreted to imply <br />Lion not listed on this form <br />individual circumstances of an <br />This form consists of two major parts: (1) a section entitled General <br />Operation Information and (2) a section entitled Application Requirements. <br />Specs is instructions for filling in the necessary in ormation or eac <br />section appears immediately below the title of each section. <br />Rcc,4J_ 1$~~ <br />GENERAL OPERATION INFORMATION <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 farm and referenced or keyed to the numbers on the form. <br />1. Application !lumber (to be filled in by the Division): C-~ a, - Q <br />2. Permittee H A Y D E N G U L C H T E R M I N A L <br />- - - - - - - - - - - - - - - - - - - - - <br />s I N C._,___ <br />3. l4ine or Site Name: H A~y_Q~_[J_~ U L ~~i-_____ <br />4. <br />5. <br />6. <br />7. <br />~~~~_9_I1~-- <br />Current Permit Type: C 0 <br />Application Submittal Date ~ ~/~ ~/S 2 <br />Application Fee: E~ ~ ~ ~ ~ Incremental Fee Schedule: _ <br />Commodity Flined: C 0 A <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (303) 866-3567 <br />