REV96562

• Permit No: C1984065
• IBM Index Class Name: Revision
• Doc Date: 6/6/1991
• Doc Name: APPLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMATION PERMIT
• Type & Sequence: RN2
• Media Type: D
• Archive: No

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Roy Romer, Govei
DEPARTMENT OF NATURAL RESOURCES
MINED LAND RECLAMATION DIVISION
FRED R. BANTA, Dlrsetor
Application Form fora Permit
to
Conduct Coal Mining in Colorado
Ppplication to conduct surface or underground coal mining activities or other
surface coal mining and reclamation operations in Colorado pursuant to
C.R.S. 34-33-101 et sew.
For an application to be deemed complete by the Division pursuant to CRS,
34-33-103(5) and Rule 1.04(30), an applicant must: (1) supply all information
as specified on this application form; (2) submit five reproducible copies of
the permit application with original signatures; and (3) pay the appropriate
fee required by Rule 2.01.6. For Federal mines 7 copies must be submitted to
OSM in Denver as soon as the application is deemed complete.
Please note that this form is only a listing of general category requirements
and does not constitute a checklist of detailed permit application
requirements. A finding of completeness should not be interpreted to imply
adequacy of an application. Additional information not listed on this fort"
may be required far adequacy depending upon the individual circumstances of an
application. After a decision has been reached on this application, the
operator must update the permit application on file at MLRD and OSM. For
non-Federal mines, one copy must be sent to OS14 in Albuquerque, New Mexico.
This form consists of two major parts: (1) a section entitled General
Operation Information and (2) a section entitled Application Requirements.
Specific instructions for filling in the necessary information for each
section appears immediately below the title of each section.
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. Application Number (to be filled in by the Division): C-_ _ -_ _
2. Perini ttee _ .l~'.?~.iT,S~P~L'CIL7 i IbC~ _ _ __ _ _ _ _ _ _
3. Mine or Site Name CORE RIDGE 111
- - - - - - - - - - - - - - - - - -
4. Current Permit Type: C 0
5. Application Submittal Date: 0 3 / 0 9 / 9 0
6, Application Fee: E_ _ _ _ _ Incremental Fee Schedule: _
7. Commodity Mined: C 0 A
423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203-2273 Tel. [phone]