REV00588

• Permit No: C1984063
• IBM Index Class Name: Revision
• Doc Date: 9/8/1995
• Doc Name: MR MINE WATER LEVEL MONITORING METHOD
• From: BALAZ & ASSOCIATES INC
• To: DMG
• Type & Sequence: MR21
• Media Type: D
• Archive: No

- _ ..
"~
STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources ~~~~~
1313 Sherman 51., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX. [phone] APPLICATION FORM FOR A REVISION
TO A COAL MINING AND RECLAMATION PERMIT DEPARTMENT OF
NATURAL
RESOURCES
This form must be completed and submitted with all requests for minor revisions, as defined in Roy Romer
Rule 7.04173), technical revisions, as defined in Rule 1.04(1361, and permit revisions, as defined Governor
in Rule 1-04(901. All revisions are to address the requirements of Rule 2.08.4. Three 131 copies lames s. L«hhead
of the revision, including maps, must be submitted in order for it to be complete. &ecaave Drrect°`
Michael B. Lang
Division Direttor
All revisions are to be formatted so they can be inserted into the permit to replace the revised
sections, maps, tables and/or figures, with a revised table of contents, if necessary. The revision
submittal date should be printed in the lower right corner of each revision page. A cover letter to the
revision should explain the nature of the revision and reference the specific permit sections being revised.
For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing
list at the same time the application is submitted to the' Division, and proof of distribution must be submitted
to the Division along with the application. Copies of revision pages modified during the review process must
be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted
prior to implementation of the revision. For non-federal mines, a copy of the application for which the
Division has issued a proposed approval decision must be submitted to the OSM Albuquerque Field Office
(AF01, and proof of submittal to AFO must be submitted to the Division prior to implementation of the
revision.
Permit No.: C - ,~ 1~. - .Q ,~ 3 Date: 0 4 / 0 6 / Q ~
' RECEIVED
Permittee: ~ a ~ ~ • s ~ d e C o a 1
_ _
~~ m~ ~ n ~ _ - .- _ _- - SEP081995
Street: 4 0. 0 N. E. L o o Q 4 1 0 ~'
_ _ Division of Minerals & Geology
.~, ~, _ B o x - 1 Z 4 8 ~ - - -
City: ~a ~_ A r~ t o n i o _ __ _
State: 2 g Zip Code: Z 8 2 1 Z-_
Brief Description of Revision: ~ ~ g _ ~ ~ 3. ~ .1 c _ H 2 0
~ ~ ~ ~ ~-_ ~ o_ m o n i t o r
g ~ n e _ w a .t a r_ 1 e v e l
Public Notice Attached: Yes _ No % (Required for PRs and TRsI
Bond Increase: Yes _ No % Federal Non-Federal X Mine
Proposed Change in: ,
Disturbed Area (+/-) _ _ 0 ~ Acres Affected Area (+/-) _ _ ~ ~ Acres
Permit Area (+/-) _ _ 0 0 Acres Federal Land (+/-) _ _ ~ . Q Acres
State Land (+/-) _ _ Q . 0 Acres Private Land (+/-1 _ _ 0 ~ Acres
m:lcoells haral(o rm s\88 fi 5