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oF' Soto QQ <br />•*; COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />+•8,s • 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />RECEIVED <br />APPLICATION FORM FOR A PERMIT JUN `1 3 2009 <br />TO Division of Reclamation, <br />CONDUCT COAL MINING IN COLORADO Mining and Safety <br />Application to conduct surface or underground coal mining activities or other surface coal mining and <br />reclamation operations in Colorado pursuant to C.R.S. 34-33-101 et seq. <br />For an application to be deemed complete by the Division pursuant to C.R.S. 34-33-103(5) and Rule <br />1.04(30), an applicant must: (1) supply all information as specified on this application form; (2) submit <br />five reproducible copies of the permit application with original signatures; and (3) pay the appropriate <br />fee required by Rule 2.01.6. For federal mines, please refer to the Federal Agency Mailing List <br />available from the Division and provide one copy to each of the agencies on that list, at the same time <br />the application is submitted to the Division. Proof of distribution to the federal agencies should <br />accompany the application. Copies of application pages modified during the review process must be <br />distributed in the same manner, along with proof of distribution. <br />Please note that this form is only a listing of general category requirements and does not constitute a <br />checklist of detailed permit application requirements. A finding of completeness should not be <br />interpreted to imply adequacy of an application. Additional information not listed on this form may be <br />required for adequacy depending upon the individual circumstances of an application. After a decision <br />has been reached on this application, the operator must update the permit application on file at DBMS <br />and OSM. <br />This form consists of two major parts: (1) a section entitled "Application General Operation Information: <br />and (2) a section entitled "Application Requirements." Specific instructions for filling in the necessary <br />information for each section appears immediately below the title of each section. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly the appropriate information as listed below. Supplemental sheets may be used <br />as necessary; such sheets must be attached to the form and referenced or keyed to the numbers on <br />the form. <br />1. Application Number (to be filled in by the Division): C - - 0SI <br />2. Permittee: SAGE CREEK COAL COMPANY (SCCC) <br />3. Mine/Site Name: PEABODY SAGE CREEK MINE (PSCM) <br />4. Current Permit Type: C 0