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• 1 <br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION ~~~~:~ '-~'--, ~ <br />Department of Natural Resources 4 ~, <br />13t3 Sherman St.. Room 275 Co <br />Denver, CO 80203 F ye 2 ~ 1993 <br />303 866-3567 <br />Fa X: 303 832.8106 Utz <br />~:JIIRERALS a ~:r' '-• <br />Application form <br />Renewal of a Va11d, Existing Permit <br />to Conduct Coal Mining in Colorado <br />pF Cpr~ <br />.~`~'s~~'~Pt <br />~lg ~6 ~ <br />Hoy Hama, <br />Gavemar <br />Fred R. Banta. <br />a~+eion Uireotor <br />This form is an application for successive renewal of a valid, exl5ting permit <br />to Conduct Surface or underground mining and reclamation activities or other <br />surface coal mining and reclamation operations in Colorado pursuant to C.R.S. <br />34-33-101, et se This application form is designed to revise and update the <br />application form currently included in your permit application. The right of <br />successive renewal applies only to lands and activity which were permitted <br />during the previous term. Extensions of the permit area and significant new <br />activity within the permit area are subject to the review procedures <br />applicable to new permit applications, in accordance. with Rule 2.08.5(1)(c> <br />and 2.08.4. Such changes will be handled by the Division as permit revisions, <br />and will be processed simultaneously with the application for renewal. Other <br />changes to the permit will be processed as technical revisions or minor <br />revisions in accordance with Rule 2.08.4. <br />For a renewal application to be deemed complete by the Division pursuant to <br />C.R.S., 34-33-109(7), an applicant must submit: (1) all information as <br />specified on this application form; ar.d (2) a copy of the newspaper notice; <br />(3) evidence that a liability insurance policy will be provided for the <br />proposed period of renewal and (4) five reproducible copies of the permit <br />renewal application with original signatures. At the completion of this <br />process, the Federal operation is responsible for providing one copy of the <br />final revised pages to each of the agencies noted on the Federal Agencies <br />Mailing List. For non-federal mines the operation is responsible for <br />providing one copy to OSM in Albuquerque (Suite 310, 625 Silver Avenue, SiJ, <br />New Mexico 87102). <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 tc <br />the form and referenced or keyed to the numbers on the form. <br />1. Permittee T~x_r_q--r_ C_r e_eils_CD~n_Rany_______ <br />2. Name of Operation: T e r r o r_C_r e e k L_o a d o_u t_____ <br />3. Permit Number (same as current permit number): C- 8~-9 $y _ <br />4. Type of Revision: R N Renewal Number: 0 1 <br />5. Application Submittal Date: Q2 ~Q-5_~~~ <br />