REV02693

• Permit No: C1980002
• IBM Index Class Name: Revision
• Doc Date: 7/22/1986
• Doc Name: APPLICATION FORM RENEWAL OF A VALD EXISTING PERMIT TO CONDUCT COAL MINING IN COLO
• Type & Sequence: RN1
• Media Type: D
• Archive: No

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tie t'r I.O'r~
o DEPARTMENT OF NATURAL RESOURCES
~ ~'~ ',1,0 ~~ ~ Davitl H Vetches, Execuhve Dnector
~~~~` MINED LAND RECLAMATION DI\
•} +876 ~ DAVID C. SHELT O N, Dlre ctor
Richard D. Lamm
r+OVe~n Or
Application Form
Renewal of a Valid, Existing Permit J U L 2 2 1986
to Conduct Coal t~ining in Colorado
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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 CRS,
34-33-101, et seq. This application form is designed to revise and update the
application~orm 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 Pule 2.08.5(1)(c)
and 2.09.4, 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
revisions in accordance with Rule 2. G8.4.
Fora renewal application to be deemed complete by the Division pursuant to
• CRS, 34-33-109(7), an applicant must submit: (1) all information as specified
on this application form; and (2) a copy of the newspaper notice; 13) 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.
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.
Permittee Henry L,_&_Og~}~jeav~ _ _
2. Name of Operation: 0. CyDoaLMine~2____ _____________
3. PerTnit Number (same as current permit number): C-$~-_~~
4. Type of Revision: R N Renewal Number: 0 1
5. Application Submittal Date: QZ/1,~~'(Q
•
423 Cen~ennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. [phone]'