PERMFILE71932

• Permit No: C1984065
• IBM Index Class Name: Permit File
• Doc Date: 12/11/2001
• Doc Name: exh 1.0
• Section_Exhibit Name: 1.0 VARIOUS APPLICATION FORMS
• Media Type: D
• Archive: No

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;( COLORADO DIVISION OF MINERALS AND GEOLOGY
•~;• 1313 Sherman Svee[, Room 215, Denver, Colorado 80203, [phone]
• APPLICATION FORM .--~~
RENEWAL OF A VALID, EXISTING PERMIT FEB 2 8 2001
TO CONDUCT MINING IN COLORADO
Division of h9inerals and Geology
This form is an application for successive renewal of a valid, existing permit to conduct surface or
underground mining and reclamation activities or other surface coal mining and reclamation
operations in Colorado pursuant to C. R. S. 34-33-1 0 1, et seq. This application form is designed
to revise and update the application form currently included in your permit application. The right
of successive renewal applies only to lands and activity which were permitted during the previous
term. Extensions of the permit area and significant new activity within the permit area are subject
to the review procedures applicable to new permit applications, in accordance with Rule
2.08.5(1)(c) and 2.08.4. Such changes will be handled by the Division as permit revisions, and will
be processed simultaneously with the application for renewal. Other changes to the permit will be
processed as technical revisions or minor revision in accordance with Rule 2.08.4.
For a renewal application to be deemed complete by the Division pursuant to C.R.S. 34-33-109(7),
an applicant must submit: (1) all information as specified on this application form; (2) a copy of the
newspaper notice; (3) evidence that a liability insurance policy will be provided for the proposed
period of renewal; and (4) five reproducible copies of the permit renewal application with original
signatures.
For federal mines, a copy of the renewal application must be submitted to all agencies on the
. federal agency mailing list at the same time the application is submitted to the Division, and proof
of distribution must be submitted to the Division. Copies of renewal pages modified during the
review process must be distributed in the same manner, along with proof of distribution. Proof of
distribution must be submitted prior to implementation of the renewal.
GENERAL OPERATION INFORMATION
Type or print clearly the appropriate information as listed below. Supplemental sheets may be used
as necessary. Such sheets must be attached to the form and referenced or keyed to the numbers
on the form.
1. Permittee: NCIG Financial. Inc.
2. Name of Operation: Coal Ridge No. 1 Mine
3. Permit Number (same as current permit number): C - 8 4 - 0 6 5
4. Type of Revision: R N Renewal Number: 0 3
5. Application Submittal Date: 0 1 /2 6 /0 1