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STATE, OF COLORADO <br />•~'~ l~ ~='~• Roy Romer, Governor <br />• ~B fi <br />•\~ - <br />~: <br />~~ `~- _ <br />DEPARTMENT OF NATURAL RESOURCES ~~~~ <br />MINED LAND RECLAMATION DIVISION i~~~ , ~ <br />FRED R. BANTA, otreetor gppLICATION FORM FORA 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 <br />in Rule 1,04(73), technical revisions as defined in Rule 1.04(36) and permit revisions, as <br />defined in Rule 1.04(90). All revisions are to address the requirements of Rule 2.08.4. <br />Three copies of your revision including maps must be submitted in order for it to be complete. <br />All revisions are to be formatted so they can be inserted into the permit to replace the <br />revised sections, maps, tables and/or figures. Explain in the revision what section is being <br />revised. The revision date should be printed in the lower right corner of the revision <br />pages, If necessary, the Table of Contents should also be revised. When the final version <br />of the revision is approved, 7 copies must be sent to OSM in Denver for Federal mines and for <br />non-Federal mines 1 copy must be sent to OSM at 625 Silver Avenue, SW, Suite 310, <br />Albuquerque, New Mexico 87102. The revision may not proceed until OSM has been provided <br />copies. Copies should be sent certified mail. <br />Date: 0 3/ 0 9/ 9 0 <br />Permittee: N E W C A 5 T L E E N E R <br />- - - - - - - - - - - - - - - <br />G Y C O R P O R A T I O N <br />~treet: ~ 6 2 5- E -N-A_P A P L-- <br />City: ~~S1JL~ R -------- <br />State: C O Zip Code: 8 0 2 3 7_---- <br />Permit No.: C - 8 4 - ~ ~ ~ <br />.9i ne Name: C O A L R I D G E /R 1 <br />Thts Dox to be filled to by the Division: <br />Type of Revision: (PR, TR, or MR) <br />Revision Number: - - (Sequential by Revision Type) <br />Rev. Submittal Date: - -/- -/- - (Date Received by Division) <br />Rev. Completeness Date: _ _/ _ _/_ _ Rev. Incompleteness Date: _ _/_ _/_ <br />- <br />Rev. Adequacy Due Date: - _/ - -/- - Rev. Adequacy Date: - -/- -/_ - <br />Rev. Decision Due Date: - -/ -/ - Lead Reclamation Specialist: - - - <br />rte escrip ion o evtsion: <br /> D 0 -~-~-pr-~-~-T--------- <br />Public Notice Attached - Yes X TJO -(~quire~ 1•or~R s and~R s)- - <br />Bond Increase: Yes No X ~aeral Non-Federal X Mine <br />Proposed Change in: <br />tsturbed Area (+/-) Acres Affected Area (+/-) Acres <br />=unit Area (+/_) - - - - Acres Federal Land (+/_) ' - - - Acres <br />State Land (+/-) - - - - Acres Private Land (+/_) ' - - Acres <br />6185E (Rev. 10/88) - - - - - <br />215 Centennial Building, 1313 Sherman Street Denver, Colorado 80203-2273 Tel. (303) 866.3567 <br />