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III IIIIIIIIIIIIIIII <br />999 <br />STATE <br />Q~r:FI\/Fp <br />JAN 3 ~ 1996 <br />~r Ilon+r <br />co..aor <br />DIVISION Of MINERALS ANO GEOLOGY <br />Dapanment M NaNnl Raaoutcw <br />1313 Shaman St.. Roam 115 <br />Ramer, Colorado 8010] <br />Phona:l)071866.1167 <br />FAX: (30718318106 <br />APPLICATION FORM Dm i n of Minerpis tw Gaoi~gy <br />RENEWAL OP A VALID, DUSTING PEAMf~r~ <br />TO CONDUCT MWW01N COLORADO <br />This form is en application for suecesslw ranawal of a valid, s7dsting permit to conduct w„~ r. ~,~ <br />aurfaca or underground mining and rsclamatlon activitlsa or other surface coal mining rncrdw oimaw <br />end reclamation opsratlona in Colorado purawrlt to C.R.S. 3433-101, er seq. This wdwt ~. taK <br />application form is designed to revise and update the application form currondy included D1N1bn p11por <br />in your permit application. The right of sueeeaslve ronswal applies only to lends and activity which <br />were penmittsd during the previous term. brtensions of the permit Brea end significant new. <br />activity within the permit area are subject to the review procedures applicable to new permit <br />eppllcatlans, in accordance with Rula 2.08.611)(e- and 2.08.4, Such changes will bs handled by <br />the Division ore permit revisions, end will be procssssd simultaneously with the application for <br />renewal. Other changes to the permit will ba pracsaaad as technical revisions or minor revision <br />in accordance with Rule 2.08.4. <br />For a renewal application to bs dasmed complete by the Division pursuant to C.R.S. 34-33-109(71, <br />en applicant must submit: l1) all Information as apscifisd on this application form; l3) a copy of <br />the nswspapsr notice;l3- svidanca that a liability insurance policy will bs provided for the proposed <br />period of renewal; end (4) five reproducible copies of the psrmlt renewal application with orlpinal <br />BigneLYr65. <br />For federal minas, a copy of the renewal application moat bs submitted to ell agencies on the <br />federal agency malting list at the same time the application is submlttad to the Division, end proof <br />of distribution must be submitted to the Division. Copley of renewal pages modified during the <br />review process meet be distributed in the same manner, along with proof of distribution. Proof of <br />distribution must ba submitted prior to Implementation of the renewal. For non-faderel mines, a <br />copy of the spplication for which the Division has Issued a proposed approval decision must be <br />submitted to the OSM Albuquerque Feld Otflca (AFO), end proof of submittal to AFO must be <br />submitted to the Division prior to implementation of the renewal. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly the appropriate information ss listed below. Supplemental chests may ba used <br />es necessary. Such sheets must be emehed to the forth end referenced or keyed to the numbere <br />on the form. <br />1. Ps-mittae: MOUNTAIN COAL CO?IPANY <br />2. Name of Operation: fiE6T ELit MINE <br />3. Permit Number Igme ore current permit numbed: C - ~ ,a - 9- ~„ Z <br />4. Type of Revision: g ~ Renewal Number: Q 1 <br />6. Application Submittal Data: Q 1 / ~ 1 / 9 6 <br />