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,.n::. <br />*, <br />`` g COLOR.A.DO DIVISIO'~l OF NIINERALS AND"GEOI,,OGY-,,T__ . <br />A ~-e.,,...._~._.., <br />•`~" 1313 Sherman Street, Room ::_, Denver, Colorado 80203,j(303j.866-3557• . <br />~/H)6 <br />~T V ~~~ i <br />APPLICATION FORM <br />RENEWAL OF A VALID, EXISTING PERMIT <br />TO CONDUCT idINING IN COLORADO <br />This farm is an application for successive renewal of a valid, existing permit to con:;uct ~~.:rface or <br />underground mining and reclamation activities or other surface coal mining and reclamation <br />operations in Colorado pursuant to C.R.S. 34-33-101, et seq. This application form is designed to <br />revise and update the application form currently included in your permit application. The right of <br />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 ar=a _..P ~;:::`~~t <br />to the review procedures applicable to new permit applications, in accordance with Awe <br />2.08.5f 1)Ic) 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-~3-?0°(7), <br />an applicant must submit: (11 all information as specified on this application form; (2) a copy of the <br />newspaper notice; (31 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 ~n -fie <br />federal agency mailing list at the same time tFie application is submitted to the Division, and ~ro~f <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: LaDcS ~ A(L E~cP~~-f, tNC. <br />2. Name of Operation: N~~C.ii~+-~E CA,J~IO~ ry~~ <br />3. Permit Number (same as current permit number): C - 8 0 - Oo ~ <br />4. Type of Revision: R N Renewal Number: 0 5 <br />JAN - 8 2001 <br />DIV. OE-.M1A1F.~]AI.,S-&~ GEC <br />Ga,~r:D ~UraC7;bN <br />5. Application Submittal Date: o I / o f3 / o I <br />