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<br />MINED LAND RECL^'.:~_DN UIVISIDN <br />' Worksneet for Complet~,'Incomplete Review <br />III IIIIIIIIIIIII III <br />999 <br />Date: ~~171~/ File No.: ~-~Sq-O7U- <br />ivame of Applicant: ~ ~ P-f~^-k Ck~A-C- L°~0 <br />This worksheet is used far the completeness review conducted pursuant to the Colorado <br />Surface Coal Mining ~teclamation Act, C.R.S. 34-33-1U1 et seg. <br />Directions: The info rniation cateyories listed oelow correspond to the information <br />categories listed in the Application fora Permit to Conduct Coal Nlininy in Colorado. <br />If a category is checked, then the Uperator has net the requirement fur Completeness for <br />tnat category. If a category is not checked, then the Uperator has not met the <br />requirement for Completeness for that cateyory. The Comment column will identify the <br />deficiency and what is necessary to correct it. <br />Information Category <br /> ~ <br />1 Name of Operation ,~,,,Np,~~ <br /> / , <br />2 Name of Applicant ~~~ <br /> / <br />"La <br />' Address and Pnone of Local Office " <br /> ~ <br />20 ' Address and Phone of General Office ~' <br /> '/ ~~ <br />3 Contact Person <br /> ~ <br />4 Parent Corporation '~ <br /> ~ <br />7 ~+ame, Adaress and Pho ne of Operator ~l <br /> <br />ti ~ Name and Phone of Res ident Agent '' <br />7 _ Current and Previous Permits z.03,1,J~ <br />8 ~ Type of Kline ,(~,p <br />"` <br /> ~ <br />9 Surface Land Ownershi p ~ ~ <br />fU V Mineral uwnership ~y-.~ <br />