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<br />MINED LAND RECLAMATION DIVISION <br />Deparrmenf of Nafuraf Resources <br />1313 Sherman St.. Room 215 <br />Denver. CO 60203 <br />303 66o~366i <br />Fa,x 303 6326106 <br />aF ~o~ <br />/.E'~~~y <br />~~iy$ <br />.... nr. <br />.~~ <br />rB'!6 ~ <br />Roy Romer, <br />Wvemor <br />Fret q Banta. <br />APPLICATION FORM FOR A REVISION D~vis:on D~rr_-or <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This form must be completed and submitted with all requests for minor <br />revisions, as defined in Rule 1.04(73), technical revisions as defined in <br />Rule 1.04(36} and permit revisions, as defined in Rule 1.04(90). All <br />revisions are to address the requirements of Rule 2.08.4. Three (3) copies of <br />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 <br />replace the revised sections, maps, tables and/or figures. Explain in the <br />revision what section is being revised. The revision date should be printed <br />in the lower right corner of the revision pages. If necessary, the Table of <br />Contents should also be revised. When the final version of the revision is <br />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 525 Silver Avenue, SW, Suite <br />310, Albuquerque, New Mexico 87102. The revision may not proceed until OSM <br />has been provided copies. Copies should be sent certified mail. <br />Permit No.: C- g l- o i 9 <br />Date: 0 6/ 0 7/ 9 4 <br />RF~'rn •.-~ <br />Permittee: c o L o w Y o c o A L c o <br />--------------~(ti<t13 1994 <br />L. P. <br />Street: 5 7 3 1- S T A T E - H L~ili~g~ty;, ,4 <br />"'- J <br />1 3 _ _ _ _ _ _ _ _ _ _ _ _ _ <br />Clty: M E E K E R - - - - - - - - - - - - - - <br />$tdte: C O Zip Code: 8 1 6 4 1----- <br />Mine Ndme: C O L O W Y O <br />- - - - - - - - - - - - - - - - - - - - <br />Brief Description of Revision: w E S T- P I T - H Y D R O L O G Y <br />C H A N G E S <br />- - - - - - - - - - - - - - - - <br />- - - - - - - - - - - - - - - - <br />Public Notice Attached - Yes x No _ (Required for PR's and TR's) <br />Bond Increase: Yes No x Federal x Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area {+/-) _ _ _ _ Acres Affected Area (+/-) _ _ _ _ Acres <br />Permit Area (+/-) Acres Federal Land (+/-) Acres <br />State Land (+/-) Acres Private Land (+/-) Acres <br />SATE OF COLORADO <br /> <br />