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C~ <br /> <br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION ~ <br /> of ~o~ <br />~ <br />Department of Natural Resources <br />1373 Sherman St.. Room 215 ,~e <br />=~~ -0y <br />~e~~ <br />~-~~$ <br />Denver, CO 80203 ~ <br />• <br />~~ <br />303 866-3567 ~ <br />` <br />FA x: 303 832-8106 ra 76 <br /> Roy Romer, <br /> Gwema <br /> ' Fred R. Barra. <br />APPLICATION FORM FOR A REVISION Division Dirertar <br />TO A COAL MINING AND RECLAMATION PERMIT <br /> <br /> <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. firee (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 625 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 4- 0 6 3 <br />Gate: 0 6/ 2 2/ 9 4 <br />Permittee: E a s t s i d e C o a l C..o.~'= ~~~- , <br />P. 0. B o x 1 6 1 <br /> _ __ ___ <br />~~ ~~ ~~~~ <br />Street: 3 2 4 6 ~ C o u n t y__ ' <br />R o a d 2 3 7 <br />- -- . --------~. -.. _.. f <br />City: S i 1 t _,_ __~ ______,__,i, <br />State: C 0 Zip Code: 8 1 6 5 2-___ <br />Mine Name: E a s t s i d e M i n e <br />Brief Descripti on of Revision: Identification of Interests, Comp]iance <br /> <br />Information, Pe <br />rmit Term <br />Information, ana _ _ _ <br />FfGP~'~2 i <br />Public Notice A ttached - Yes No X (Required for PR's and TR's) <br />Bond Increase: Yes No X Federal Non-Federal X Mine <br /> <br />Proposed Change in: <br />Disturbed Area (+/_) _ _ 0. 0 Acres Affected Area (+/=) _ _ 0 .0 Acres <br />Permit Area (+/-) _ _ 0. 0 Acres Federal Land (+/-) _ 0 Acres <br />State Land (+/-) 0 .0 Acres Private Land (+/-) 0 Acres <br />~+n r~- r+n mn~ <br />