PERMFILE124793

• Permit No: C1980003
• IBM Index Class Name: Permit File
• Doc Date: 12/11/2001
• Doc Name: IDENTIFICATION OF OTHER LICENSES AND PERMITS
• Section_Exhibit Name: APPENDIX K
• Media Type: D
• Archive: No

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~~'ARTMENTOF THE TREASU• 'j
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~ FOR qTF USE ONLY FO1p/ - y- ~ ~-~--~---

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APPLIC:,TION FOR PER~111T ~
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VC. CTR. )
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UNDER 1S U.S.C-CHAPTER :0, EXPLOSIVES ~~ rr ^v SE ONL _ _ - C~!
NOTE: COMPLETE IN TRIPLICATE. USE TYPEWRITER OR PRINT WITH BALL POINT~cfl= _
1. NAME (!f partrlenhip. inclutle name of each parmrrJ ~ - _ .
Y mo 1!inin Comoan 0 erator !I-G Coal Co. Ow^er
2. TRADE NgME, IF ANY 9. EMOLOVER IDENTIFICATION NO. OR $OC14L SECV Ri
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.~ (Voluntary - trt fast pc,CC) ~
82-G34261 fi
4. NAME OF COUNTY . .. 5. ADDRESS /RFD or sr+rrr no., ci
_ ry, :rcrr.:ip code/
Routt Box H FI ~
B. LOCATION /lJno tt*ter addrrst in item S, allow direction and Hayden , Colorado 81639
durance fram
ntaretl P.O
ar tiry l:mrrs)
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welve miles south of Hayden on County 7.TELEPHONE BVSINESS RESID'cNCE
T ~,°a/coe~,°` [phone]
6. HOURS OF OPERATION OF APPLICANT'S BUSINESS 9 DATE OPERATIONS REOVIRING A PE Rtd IT ARE

iIMEI SUNDAY I MONDAY TUESDAY
WEO. I THURS.
I FRIDAY SATV RDAV DESI RED TO COMMENCE
OPEN 6:30 AM

30. THE APPLICANT IS • 11. APPLICATION IS h:ADE FORA 12. PAYt.: E.+T FOR THE FE RraIT IS

^ AN INOIV IOVAL PE Rr.aIT VNDER 1B U.S.C.
CHAPTER a0 AS A (See int[ru[` ATTACHED OR ENCLOSED AND
IN THE FORM OF

^ tlanaf
A PARTNERSHIP
^CHECK ^MONEY ORDER
RP
RAT
^ bfark appropria rr blPtk X FEE
ION
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A CO ^OTHER
Q OTHER /Specify/ USER. ;~ S20 (SPettfyl
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Company, 1nC. USER-LIMITED $ 2 S ~ 2D.DD
[Submersed
1J: 1! THE APPLICANT PRESENTLY ENGAGED IN OPERATIONS INVOLVING INTERSTATE OR f/yes. show dare GUth operation
r OREIGN COMMERCE IN EXPLOSIVE MATERIALS FOR WHICH A PERMIT I$ REQUIRED UNDER NYt Commenced
~ 18 U.S.C. CHAPTER 40, EXPLOSIVES?
®
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~
UES
NO _
a+. DURING THE TERM OF THE PERMIT APPLIED FOR THE APPLICANT INTENDS TO USE (Set definiriont o/clat[et of eipfotiv[t On page
4 of rhi, form)
Place X in the appropnare blacks ^ HIGH EXPLOSIVES ^ LOW EXPLOSIVES y~cJ BLASTING AGENTS
15. THE APPLICANT INTENDS TO VSE THE FO LLOYrING LISTED TYPES OF EXPLOSIVE MATERIALS /Dyrtamitt, TYT, tier/
Ammonium nitrate -Fuel Oil, Primers, Blasting Caps. Detonating Fuse, Delays
AFf.Fiurn ~,;r ,en •
16. THE APPLICANT INTENDS TO PURCHASE EXPLOSIVE MATERIALS ' /If ye; eta re whertl :yl vV
IN INTERSTATE OR FOREIGN OOMMERCE
p YES ^ No _.. Wyoming InS.GSdrR,Utah
17. THE APPLICANT INTENDS TO TRANSPORT EXPLOSI VE MATERIALS /7/y[; tale where)
IN INTERSTATE OR FOREIGN COMMERCE
^ YES ~ NO
1
3B. IS STATE OR LOCAL LICENSE OR PERMIT REQUIRED FOR (1/Yr+. gir<numbera ar, if no[obtairted, date applied fort
APPLICANT OPERATIONS?
1~ YES ^ No Colorado 1014
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19. PURPOSE FO R9IHICH EXPLOSIVES WILL BE USED

~~ COAL MINING /inCludingtOn-
mrcrion on eoaf mining
AGRICULTVRE
ROAD BVILDING~
CH PHIC
rOperryJ RESEAR
OTHER MINING OR
GUAR RYING CONSTRVCTION OIL WELL DRILLING /Spe[%yJ~WFUL ACTIV ITY
20. THE APPLICANT WILLSTORE EXPLOSIVE MATERIALS(I/ye; you mutt alto complete i[cmt 22 through 2S/
® YES ^ NO --
NOTE: ITEM 21 h1U5T BE COMPLETED BY USER-LIMITED
I. SPECIFY QUANTITY OF EXPLOSIVE MATERIALS NEEDED
V
ATF Form 4707 (]0-75) PREVIOUS EDITIONS AqE Od50 LETE