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p4' Cpl ~~_ "R9 ,~~a COLORADO DIVISION OF MINERALS AND GEOLOGY .,as. 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 El0/ED APPLICATION FORM OCT O:L,~ RENEWAL OF A VALID, EXISTING PERMIT TO CONDUCT MINING IN COLORADO DivisionafMineraisandGeaiogy This form is an application for successive renewal of a valid, existing permit to conduct surface or underground mining and reclamation activities orothersurface coal mining and reclamation operations in Colorado pursuant to C.R.S. 34-33-101, 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. 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: WESTERN FUELS -COLORADO 2. Name of Operation: New Horizon Mine 3. Permit Number (same as current permit number): C - 81-008 4. Type of Revision: R N Renewal Number: 4 5. Application Submittal Date: 09 / 25 / 2002 6. Correspondence Information APPLICANT/OPERATOR (Name, Address and Phone of Name to be used on Permit Individual's Name: Lance Wade Company Name: Western Fuels- Colorado, a limited liability company Street: 27646 W.5th St