REV103765

• Permit No: C1992081
• IBM Index Class Name: Revision
• Doc Date: 11/29/2002
• Doc Name: Letter, Application & Public Notice
• From: MWH
• To: DMG
• Type & Sequence: RN2
• Media Type: D
• Archive: No

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Y ~ COLORADO DIVISION OF MINERALS AND GEOLOGY
~ ~~'~ 1313 Sherman Street, Room 215, Denver, Colorado 80203, [phone]
APPLICATION FORM RECEIVED
RENEWAL OF A VALID, EXISTING PERMIT
TO CONDUCT MINING IN COLORADO NO V 2 ~ 2002
Division of Minerals B ,rc+n,,,,
This form is an application for successive renewal of a valid, existing permit to conduct surface or
underground mining and reclamation activities or other surface coal mining and reclamation
operations in Colorado pursuant to C.R.S. 3433-1 Ol, et .req. This application form is designed to
revise and update the apphcation 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. 3433-109(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 pohry 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
agenry 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: Havden Gulch Terminal, Inc.
2. Name of Operation: Hayden Gulch Loadout
3. Permit Number (same as current permit number):
4. Type of Revision: R N
C-92-081
Renewal Number: 0 2
5. Application Submittal Date: 11/ 20/02