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~,. r., L <br />~~~1AS10N <br />~ilppl.iea~'~`~i 2~ogt6d~L surface or underground coal mining activities or othi <br />{{,,y~r,f~L•~bal~mining and reclamation operations in Colorado pursuant to C.R.; <br />~T973, 34-33-101, et se . <br />DI~I <br />Application Form for a Permit <br />to <br />UN l g 1°~ Conduct Coal Mining in Colorado <br />DEPARTMENT OF NATURAL RESOURCES <br />Devla H. Getchee. Executive Director <br />MINED LAND RECLAMATION <br />DpA~VID C. SHELTO N, Dlreetor <br />Rlcherd D. Lam~~~~`G/~~ <br />For an application to be deemed complete by the Division pursuant to C.R.S. <br />1973, 34-33-103(5) and Rule 1.04(30), an applicant must: (1) supply all <br />information as specified on this application form; (2) submit five <br />reproducible copies of the permit application with original signatures; and <br />(3) pay the appropriate fee required by Rule 2.01.6. <br />Please note that this form i; only a listing of general category requirement <br />and does not constitute a checklist of detailed permit application <br />requirements. A finding of completeness should not be interpreted to imply <br />adequacy of an application. Additional information not listed on this form <br />may be required for adequacy depending upon the individual circumstances of <br />• application. <br />This form consists of two major parts: (1) a section entitled (General <br />0 eration Information and (2) a section entitled Application Requirements. <br />pecific instructions for filling in the necessary information for each <br />section appears immediately below the title of each section. <br />GENERAL OPERATION ItJFORitATION <br />'r <br />'• <br />an <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. Name of Operation <br />(Pit, mine or site name) <br />BLUE FLAME COAL MINE CC{~[PANY <br />2. Name of Applicant I <br />(Name t0 be used On permit - FIDEL JOBA'IT~, SR. cba <br />the Permittee) BLUE Ff.AP1E COAL MIPE COMPANY I <br />2a. Address and phone number of <br />local offices <br />1001 EAST SECOND AVENUE <br />• 2b. Address and phone number of <br />general offices. <br />SAME AS ABOVE <br />423 Centennial Building, 1313 Shorman Street Denver, Colorado 80203 Tel. (303) 866-3567 <br />~~__ <br />