REV94914

• Permit No: C1982056
• IBM Index Class Name: Revision
• Doc Date: 11/24/1997
• Doc Name: APPLICATION FORM RENEWAL OF A VALID EXISITING PERMIT TO CONDUCT MINING IN COLO
• Type & Sequence: RN3
• Media Type: D
• Archive: No

3

(Not for DP Entry)
Permitted Actual Proposed
8. Mineral ownership:
Indicate currently permitted acrea a for each
Federal: acres 3973
State: acres 4720
Private: acres 5118
Indian: acres 0
9. Surface ownership:
Indicate currently permitted acrea a for each
Federal: acres 200 N/A N/A
State: acres 400 NIA N / A
Private: acres 10, 611 .7 N /A N /A
Indian: acres 0 N A N A
10. Affected area lin acres) 6 7 .8 N
11. Disturbed area lin acres) µ
12. Acreage of area reclaimed in previous permit
term
A. Backfilled and raded N/A N/A
B. Retopsoiled N/A 39.7 N/A
C. Reseeded N/A N/A
73. Acreage for which bond has been released
A. 60 percent N/A 0 N/A
B. 85 percent N/A p N/A
C. 100 percent N/A 0 N/A
14. Renewal Term RequestedlYearsl N/A N/A 5
Note: if the application contains proposed )new/ acreage, then a permit revision application
form must also be completed for those acreages.
15. Type of Mine (Check one): X Underground _ Surface
_ Combined Surface and Underground
Loadout Other
16. Current Permit Status (Check one): X Active _ Temporary Cessation
Permanent Cessation (Reclamation Only) _ Suspended