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~ ~~ OF ~ COO <br />~~ ~g DEPARTMENT OF NATURAL RESOURCES <br />N ~] <br />y ~ 01;01- y Davia N. Gatche0. Esecutira Director <br />'_ MINED LAND RECLAMATION DI\ <br />DAVID C. SNELTO N, Director <br />Rlchale D. Lamm <br />Governor <br />Application Form <br />Renewal of a Valid, Existing 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 CRS, <br />34-33-101, et seq. This application form is designed to revise and update the <br />application~orm 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 sub,)ect 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 />Fora renewal application to be deemed complete by the Division pursuant to <br />CRS, 34-33-109(7), an applicant must submit: (1) all information as specified <br />on this application form; and (2) a copy of the newspaper notice; (3) evidence <br />that a liability insurance policy will be provided for the proposed period of <br />renewal and (4) five reproducible copies of the permit renewal application <br />with original signatures. <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. Permittee _v7~r°-`nulgF~ue1 C'~------------------ <br />2. Name of Operation: _ Canadian Str~yMine _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />3. Permit Number (same as current permit number): C- gl- 026 <br />4. Type of Revision: R N Renewal Number: 0 1 <br />• 5. Application Submittal Date: 07 / 15 / 86 <br />(Revised 04/13P90) <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (303) 866-3567 <br />