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'• 1 <br />STATE OF <br />MINED LAND RECLAMATION DIVISION __ ' <br />r <br />• <br />Department o1 Natural Resources _ <br />~ r ,tti <br /> <br />1313 Sherman SI.. Raom 2t5 <br />Denver, CO 80203 .. rr.. ~ <br />..~ ~ . <br /> <br />' <br />303 6663567 <br />FA x: 303 8328106 <br />"',r ~, %~ .lgptc, <br />C.-..' ' <br />' <br />rei6 <br /> L , ... aor ate. <br />~~ <br /> vil~lEF"~~`-' - or <br />e° <br /> Application Form i <br />wino~rw~r <br /> Renewal of a Valid, Existi ng Permit <br /> to Conduct Coal Mining in Colorado <br />This form is an application for successive renewal of a valid, existing permit <br />to conduct surface or underground mining and reclamation activities or other <br />surface coal mining and reclamation operations in Colorado pursuant to C.R.S. <br />34-33-101, et se This application form is designed to revise and update tfre <br />application form currently included in your permit application. The right of <br />successive renewal applies only to lands and activity which were permitted <br />during the previous term. Extensions of the permit area and significant new <br />activity within the permit area are subject to the review procedures <br />applicable to new permit applications, in accordance with Rule 2.08.5(1)(c> <br />and 2.08.4. Such changes will be handled by the Division as permit revisions, <br />and will be processed simultaneously with the application for renewal. Other <br />changes to the permit will be processed as technical revisions or minor <br />revisions in accordance with Rule 2.08.4. <br />® For a renewal application to be deemed complete by the Division pursuant to <br />C.R.S., 34-33-109(7), an applicant must submit: (1) all information as <br />specified on this application form; and (2) a copy of the newspaper notice; <br />(3) evidence that a liability insurance policy will be provided for the <br />proposed period of renewal and (4) five reproducible copies of the permit <br />renewal application with original signatures. At the complet,lon of this <br />process, the Federal operation is responsible for providing orle copy d~ the <br />final revised pages to each of the agencies noted on the Federal Agencies <br />Mailing List. For non-federal mines the operation is responsible for <br />providing one copy to OSM in Albuquerque (Suite 310, fi25 Silver Avenue, SW, <br />New Mexico 87102>. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly the appropriate information as listed below. <br />Supplemental sheets may be used as necessary. Such sheets must be attached to <br />the form and referenced or keyed to the numbers on the form. <br />1 . Permi ttee T ~ ~'_r_2 r _ C_r_ e_ a is _ C 91n_Ii a n ~_ _ _ _ _ _ _ <br />2. Ndme of Operation: T e_r r o r C_r e e k L_o a d o_u_t _ _ _ _ _ <br />3. Permit Number (same as current permit number): C- 8~-9 ~9_ <br />4. Type of Revision: R N Renewal Number: 0 i <br />5. Application Submittal Date: Q2 /Q5_/~ 3 <br />