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Lam,: ~ <br />Jy` COLORADO DIVISION OIL 1VIINIrRALS AND GT';OLOGY <br />~• 1313 Sltcrman Strcct, Room 215, Dcnvcr, Colorado 80203, (303) 8GG-3SG7 <br />~ ic' <br />R~r,. ~ APPLICATION FORM <br />RENEWAL OF A VALID, EXISTING P[RMIT <br />t)An [ ~ - , TO CONDUCT MINING IN COLORADO <br />[livis~~T'his'forrrtis ah 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. 34-33-101, er seq. Tliis application form is designed to <br />revise and update llte application form currently included in your permit application. The right of <br />successive renewal applies only to lands and activity wlticlr were permitted during the previous <br />term. Extensions of the permit area and significant new activity within the permit area arc subject <br />to the review procedures applicable to new permit applications, in accordance with Rule <br />2.08.5f1)Ic) and 2.08.4. Suclt changes will be Itandlcd by the Division as permit revisions, and <br />will be processed simultaneously with the application for renewal. Outer changes to the permit will <br />be processed as Iccltnical revisions or minor revision in accordance with Rule 2.08.4. <br />For a renewal application to be deemed complete by the Division pursuant to C.R.S. 34-33-10917), <br />an applicant must submit: (1) all information as specified on (Iris application form; (2) a copy of <br />the newspaper notice; (3) evidence that a liability insurance policy will be provided (or the proposed <br />period of renewal; and (4) five reproducible copies of the permit renewal application with original <br />signatures. <br />For federal mines, a copy of the renewal application must be submitted to all agencies on the <br />federal 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 tttc <br />review process must be distributed in ttte same manner, along with proof of distribution. Proof of <br />distribution must be submitted prior to implementation of the rcncwal. For non-federal mines, a <br />copy of the application for which the Division has issued a proposed approval decision must be <br />submitted to tltc OSM Albuquerque Field Office (AF01, and proof of submittal to AFO must be <br />submitted to tltc Division prior to implementation of the rcncwal. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly the appropriate information as listed below. Supplcmcntal streets maybe used <br />as necessary. Suclt sheets must be attached to the form and referenced or keyed to the numbers <br />on the form. <br />1. Permittcc: ~~ Coal Company, Inc. <br />2. Name of Operation: Bear No. 3 Mine <br />3. Permit Number (same as current permit number): C - S 1 _0 3 3 <br />4. Type of Revision: R N Renewal Number: 0 _ <br />5. Application Submittal Datc: 0 1 ~ 1 7~ 9 7 <br />