Laserfiche WebLink
ii- iiiii~iiiiii~iii ~~ <br />STATE Ur LuLUxADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />1313 Sherman St.. Room 215 <br />Denver. CO 80203 <br />303 866.3567 <br />FAX: 303 832-8106 <br />ry <br />.,~'. ~ C' <br />•~{+'~• <br />t <br />~ re~e ` <br />Roy ROmec <br />Gowrriv <br />' Fred R. earns. <br />APPLICATION FORM FOR A REVISION oivivon 0ireaor <br />TO A COAL MINING ANO 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 r. A71 <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 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- B 1_ o i 9 <br />Date: 0 3/ o i/ 4 1 <br />Permittee: ~~~ o W Y o _, c o n L _ ~ °~ R E C E IVE D <br />Street: 5 ~ 3 1 _ s T A T E e r a -_ - <br />H I G H W A Y ~~ ~ 3 i MAR 0 4 1991 <br />City: M E E x E R _ i_ _ _ _ Mined Lan <br />State: c o Zip Code' s i e a i _ i~ch~lr-taafion D~sion <br />Mine Name: c o L o w Y o i <br />- - - - -- - - - - - - - - - - - - - - - <br />Brief Description of Revision: M o D i F z c A T I o N_ T o <br />B O N D B O U N D A R Y <br />Public Notice Attached - Yes x <br />, No _ (Required for PR's and TR's) <br />Bond Increase: Yes x No Federal x Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/_) _ 7 5._ Acres Affected Area (+/-) _ 7 5 ,_ Acres <br />Permit Area (+/_) _ ~. _ , Acres Federal Land (+/-} , _ _ Acres <br />State Land (+/-) <br />Acres Private Land (+/-) <br />Acres <br />6185E (10/90) <br />