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APPLICATION ��. w �� r��r�w <br />APPLIL A T ION F ORivi <br />RENEWAL, OF A VALID. EXISTING PERMIT <br />'FO CONDUCT MINING IN COLORADO <br />This form is an application for successi■e renewal of a ' alid. existing permit to conduct surface or <br />underground mining and reclamation actix ities or other surface coal mining and reclamation operations in <br />Colorado pursuant to C.R.S. 34-33-101. ct seq. 1 his application form is designed to rex ise and update the <br />application form currently included in your permit application. The right of successi\ e renewal applies <br />only to lands and actix it\ which were permitted during the pre\ ions term. Extensions of the permit area <br />and su.!nilicant new actix it\ xx ithin the permit area are subject to the rex ie\\ procedures applicable to new <br />permit applications, in accordance with Rule 2.08.5(1)(c) and 2.08.4. <br />For a renewal application to be deemed complete by the Dix ision pursuant to C.R.S. 34 -33- 109(7). an <br />applicant must submit: (1) all information as specified on this application form; (2) a copy of the <br />newspaper notice; (3) evidence that a liability insurance policy will be provided for the proposed period <br />of renewal; and (4) five reproducible copies of the permit renewal application w ith original signatures. <br />For federal mines, a copy of the renew application must be submitted to all agencies on the federal <br />agenc\ mailing List at the same time the application is submitted to the Dix ision. and proof of distribution <br />must he submitted to the Division. Copies of renewal pages modified during the review process must he <br />distributed in the same manner. along w ith proof of distribution. Proof of distribution must be submitted <br />prior to implementation of the renewal. <br />GENERAL OPERATION INFORMATION <br />Iy or print clearly the appropriate information as listed below. Supplemental sheets may be used as <br />necessary. Such sheets must he attached to the form and referenced or keyed to the numbers on the form. <br />1. Permittee: Hayden Gulch Terminal LLC <br />2. Name of Operation: Hayden Gulch Loadout <br />3. Permit Number (same as current permit number): C - 92 081 <br />4. 4. Type of Revision: R N Renewal Number: 04 <br />5. Application Submittal Date: 11 / 05 / 2012 <br />