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p/l4 <br /> W( , DATE/TIME ?-16r <br /> ��/A/ % J SPEC INITIALS b ' - a <br /> Document IOSIP /� <br /> Revived: .1 : II, 19115 <br /> ISTEP 2 - Complete Following Approval for All Revinion Typoal <br /> AHPRDEO2 MINERAI. PERMIT REVISION nF.I:ISi(1N CODING RUM <br /> 1111 MINE ID / OR EXPLORATION ID I - S _ L9 /2 <br /> PFID1 PFI I12 I'FID1 CI.-Tri <br /> UNI TYPE OF REVISION <br /> (CL-KV: AH-Amendment , CN-Conversion, SF-Surety Forfeiture, SI-Surety <br /> Increase, SI.-Surety et:len/tn. SO-$nccCan inn of Operator, <br /> SII-Surely Reduction, TC-Temporary Ceannf inn, 'lhwfuchnienl • <br /> Revision I <br /> 1111 REVISION NUMBER -- _ <br /> 101 - 991 <br /> 1111 REVISION DECISION DATEC.i: 1 12 i <br /> IMI REVISION DECISION TYPE 419 ICI.-1'D: AC-Approval with conditions, AI'-Approval , DIP.Deuial 1 <br /> REVISED PERMIT TYPE -- _ ICI.-PT: CO-coal, CX-Cnai Exploration, 11.-Illegal, HI'"Hlnerel Prospect, <br /> 10-110, 11-111,i12-1121 <br /> REVISED PERMIT STATUS -- — ICL-PS: AC-active, AP-application In review, CD-Hint:rni permit under <br /> Cease i Demist Ilydar, CO-Coal permit under (:ease Order, <br /> IC-Incomplete, 11-11legal by Informant, II.-Illegal fly <br /> • Inspection, 111-Inactive, RV-revoked, S11-Suspeutl,•J, 1C-tempnrnry <br /> cessation, TII-Termlugtesl, W11-Applicatinn Wilh.lr,wn 1 <br /> REVISED ESTIMATED LIFE OF NINE -- _ lin Yearal <br /> REVISED MIDTERM REVIEW DUE DATE / / <br /> REVISED PERMIT EXPIRATION DATE / / <br /> CHANGE IN SURETY AMOUNT 1.-1i$ _ _ _ . _ 1 Z , .0 a . 0-0(Enter the amount of the change - the program <br /> will calculate the amendoJ Surety Amount <br /> NEXT PENDING SURETY TICKLE DATE. . / / <br /> REVISED ANNIIAI. FEE AMOUNT $ _ _ . _ _ _ !Round Tq Nearest DollarI <br /> CHANGES (t-J TO ORIGINAL AREAS (I It ACRES <br /> (Enter the amount of the changes In the following areas; the program calculate, the amended Total Currant Areas. , <br /> DISTURBED AREA IIAXURIIM ALLOWABLE DISTURBED AREA... <br /> LIFE OF HI NE AREA.. . AFFECTED AREA.... . I'ERHIT AIIEA...,.., <br /> FEDERAL LAND AREA.. STATE LAND AREA.. PRIVATg LAND AREA. <br /> DOCUMENT GENERATION SELECTION <br /> CEHERATE DOCUMENT ID=OFC1S_IOU ft rlIHR11'I'': 1..ppnUIT tinrinn'i,i' <br /> Ob , -ice- - ? <br />