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Ric~artl D. Lamm <br />Govemcr <br />DEPARTMENT OF NATURAL RESOURCES <br />Dev,tl H. Gelcftst Esscutrve Director <br />MINED LAND RECLAMATION DI\ <br />DAVID C. SNELTON, Dlnetor <br />Application Form for a Permit <br />to <br />Conduct Coal Mining in Colorado <br />Application to conduct surface or urtdergraund coal mining activities or other <br />surface coal mining and reclamation operations in Colorado pursuant to CRS, <br />34-33-101, et.seq. <br />For an application to be deemed complete by the Division pursuant to CRS, <br />34-33-103(5) and Rule 1.04(30), an applicant must: (1) supply a17 information <br />as specified on this application form; (2) submit five reproducible copies of <br />the permit application with original signatures; and (3) pay the appropriate <br />fee required by Rule 2.01.6. <br />Pt ease note that this form is only a listing of <br />and does not constitute a checklist of detailed <br />requirements. A finding of completeness should <br />adequacy of an application. Additional infornla <br />may be required for adequacy depending upon the <br />application. <br />general category requirements <br />permit application <br />rtot be interpreted to imply <br />ti on not listed on this form <br />individual circumstances of an <br />. This form consists of two major parts: (1) a section entitled General <br />Operation Information and (2) a section entitled Application Requi- cements. <br />Spec11.1c lnstructlons for filling in the necessary :n~ormation >'or eac(- <br />section appears immediately below the title of each section. <br />GENERAL OPERATIDN 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. Application Number (to be filled in by the Division): C-_ _ - _ _ <br />2. Pernlittee Empire Energy Corporation _ ` , _ ` _ _ _ <br />Craig, Colorado _ _ <br />3. Mine or Site Name: Eagle Mines No_5 and No. 6 <br />- - - - - - <br />4. Current Permit Type: C 0 <br />5. Application Submittal Date _ 8 / 21 / 86 <br />6. Application Fee: S~ - _ _ _ Incremental Fee Schedule: _ <br />7. Commodity Mined: C 0 A <br />423 Centennial Building, 1373 Sherman Street Denver, Colorado 80203 Tei. (303) 866-3567 <br />