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`~ a Doc Date:1 211 1 /2 0 01 III IIIIIIIIIIIII III <br />,~i . <br />=` COLORADO DIVISION OF MINERALS AND GEOLOGY <br />",~• 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />• <br />• SSE % APPLICATION FORM . <br />RENEWAL OF A VALID, EXISTING PERMIT <br />TO CONDUCT MINING IN COLORADO <br />This form' is an application for successive renewal of a valid, existing permit to conduct surface or <br />underground minirig' and.'reclamation actjvities, or other surface coal mining and reclamation, <br />operations in CoforadQ pursuant to C.R.S. 34-33-109.; ei saq...This application forts is designed to <br />•-revise;and update the application form currently included in your permit application. The right of <br />successive renewal applies only to lands and activity which were permitted during the .previous <br />term. Extensiorts of the permit area and significant new activity within.the perrtSit area are subject <br />to the review, procedun;s applibable to. new permit applications, in accordance with Rule <br />2.08.5(1)(cl. and 2.08.4. "Such changes. will 6e.handled by the ~Divisiom'as permit revisions, and <br />will be processed simultaneously with the appticatiori for renewal.'Other changes to the permit will <br />be processed as technical revisions or minor revision in accordance with Rule`2,08.4 <br />For a rene.waf application, tp be deemed complete.by the Divil;ion pursuant to C.R.S. 34-33-10917), . <br />an applicant must submit: (1) all information as specified•on tFtis:.application form; (2) a~copy of <br />the nevrspapGr notice; (3) evidence that a liability insurance policy will be provided for the.•proposed <br />period of reriewal; and (4)' five reproducible copies of the permit renewal application with original <br />signatures.. .. . . <br />• ~ ' '~ <br />For federal mines,' a copy of the renewal application must be submitted tb all agencies on the <br />federal agency mailing list at the same time the application is submitted to the Division, and proof <br />. of distribution must be submitted to the Division. Copies of renewal pages modified. during the <br />revie~y.process must be distributed in the same manner, along with proof of~distributidri. Proof•of <br />distrif~ution must be_submitted prior to implementation'of the renewal. For.non-federal mines, a <br />copy;~f~ the applicaton;for which the Division has issued a proposed approval decision must be <br />submitted to the OSM Albuquerque Field O#fice (AF0), and proof of supmittal to AFO must be <br />. submitted to the Division prior to implementation of the renewal. <br />GENERAL OPERATION INFbfiMATION <br />Type or print clearly the appropriate information as listed below. Supplemental sheets~may be used <br />es necessary. Such sheets must be attached to the form and referenced or keyed to the numbers <br />on the form. .. <br />1. Permittee:. T ~'P~ z cn~ wa o~at_ rnw~a CO _ I~~/-~FIIfFn <br />2..:~ Name of Operation: CDNA' m"~E ~~ f~qF <br />4. Type'oNRevbsion aR Nas curRenewal Numbeber0l•. 3 - $_,o - o ohyUronpir:9,nerdi~ ~ ucJ 4. <br />5. Application Submittal Date: O 3 /0 5 / 9' ~ <br /> <br />