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STATE OF COLORADO <br />Or1510N OF MINERALS AND GEOLOGY <br />f2epanmem a Natural Resources <br />111 1 Sherman SI.. Room ? 15 <br />penver, ColaaAO B020J <br />('hone: lJOJI B66•JS67 <br />rnx:lloll al2•eloe APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This form must be completed and submitted with all requests for minor revisions, as defined in Ra Roma <br />Rule 1.04(731, technical revisions, as defined in Rule 1.04(138-, and permk revisions, as defined c°"`rt° <br />in Rule 1.04190)• All revisions are to address the requirements of Rule 2.08.4. Three 131 copies e~c~he p,~ad <br />of the revision, inducting maps, must be submitted in order for it to be complete. Michael e. long <br />o+~~:b„ oueaor <br />Ail revisions are to be tormatted so they can be inserted into the pennk to replace the revised <br />sections, maps, tables and/or figures, with a revised table of contents, M necesssry. The revision submittal <br />dste should be printed in the tower NgM corner of each revision page. A Dover letter to the rovision~ should <br />explain the nature of the revision and reterence the spedflc pennk sections being revised. <br />For federd mires, a Dopy of the revision application must be submitted to all agendas on the federal melting <br />Ilat at the same time the application Is autlmkted to the Division, sod proof of distribution must be submitted <br />to the Division abng with the application. Copies of revision pages modified during the review process must <br />be dlatributed M the same manner, along with proof of dlatribution. Proot of distlfbutbn must be submitted <br />prior to ImplemaMetlon of the revision. For nort-federal mines, a Dopy of the application for which the <br />Division has issued a proposed approval dedsion must be submitted to the OSM Western Regional <br />~, Coordinetlng Center (7999 Broadway Blvd., Suke 3320, Denver, CO 80202-5733), end proof of submittal <br />to OSM must be aubmkted to the Division prior to implementation of the revision. <br />Pennk No.: C - ~ •~ - •~ ~ ~ Date: 0 3 / 1 5 / 9 5 <br />Perrnktee: T R A P P E R _ M I N I N G <br />I N C <br />---------------- <br />Street: ? 0_ B 0 X 1 8 7 <br />City: C R A I G <br />- - - - - - - - - - - - - - - <br />Stete: C 0 Zip Code: 8 1 6 2 6_ <br />Brief Description of Revision: 1 9 9 5 A N N U A L R E P~ 0 R T <br />A P P E N D I X W~ _T R` 7 0_ <br />Public Notice Attached: Yes x No _ (Required for PRs and TRsI <br />Sond Increase: Yes _ No x Federal _ Non-Federal _ Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ -_ ~ ~ Acres <br />Permit Area (+/-) 0 0 Acres <br />State Land 1+/-) _ _ _ -Acres <br />m: \c o al \s h a re\f o rm s\ 8 8 6 5 <br />Affected Area (+/-) _ _ ~ ~ Acres <br />Federal Land (+/-) _ _ _ _ Acres <br />Private Land 1+/-) _ _ -_ `Acres <br />i. <br />