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` ` JAN 1 6 2004 <br />~¢ x`1'8 <br />`c COLORADO DIVISION OF MII~IERALS AND GEOLOGY Sian oS Minerals and Geoloo~~ <br />•,~ J• 1313 Sherman Scree[, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />eve" <br />APPLICATION FORM <br />RENEWAL OF A VALID, EXISTING PERMIT <br />TO CONDUCT MINING IN COLORADO <br />This form is an 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. 34-33-1 0 1, et seq. This application form is designed <br />to revise and update the application form currently included in your permit application. The right <br />of successive renewal applies only to lands and activity which were permitted during the previous <br />term. Extensions of the permit area and significant new activity within the permit area are subject <br />to the review procedures applicable to new permit applications, in accordance with Rule <br />2.08.5(1)(c) and 2.08.4. Such changes will be handled by the Division as permit revisions, and will <br />be processed simultaneously with the application for renewal. Other changes to the permit will be <br />processed as technical 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. 34-33-109(7), <br />an applicant must submit: (1) all information as specified on this application form; (2) a copy of the <br />newspaper notice; (3) evidence that a liability insurance policy will be provided for 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 the <br />review process must be distributed in the same manner, along with proof of distribution. Proof of <br />distribution must be submitted prior to implementation of the renewal. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly the appropriate information as listed below. Supplemental sheets may be used <br />as necessary. Such sheets must be attached to the form and referenced or keyed to the numbers <br />on the form. <br />1. Permittee: Central Appalachia Minino LLC <br />2. Name of Operation: Munoer Canvon Mine <br />3. Permit Number (same as current permit number): C - 8 1 - 0 2 0 <br />4. Type of Revision: R N Renewal Number: 0 4 <br />5. Application Submittal Date: 0 4 /2 3 /0 ? <br />6. Correspondence Information <br />01/14/04 <br />