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OF OIVIS-t}N Of MINERALS ANO GEOLOGY pspanmMw o1 PNIurN serournE 1717 Slrrnrn 51., Room t17 t~arh,r., culw,ao etuo7 ~~r,FivFr~ nro,x: uo71 ase.7ser APPL{CAT10N FORM FOR A itEVIS10N aPR ~ 6 r,vc:lso71 e7idra 1996 TO A COAL MINING AND RCCLAMATION PERMR Division of Minerals g Geology This form must be completed and submitted vrhh all requests for minor rovialone, es defined in Ruffs 1.041731, technical revisions, as defined in Rule 1.04(1381, and permh revisions, ss defined in Ruls t .04(901. All revisions era to address the requlroments of Rule 2.08.4. Three 131 copies of the revlslon, including mega, must bs submitted In order }or K to be compote. as rq~« C.dwror Wn. S. ladrek E.eMIK pnoer 1AkM.d a. Lary Atl revisions are to be formatted so they Cen be inserted Into the permh to replace the revised ~~~ Sections, maps, tables andlor figures, whh a revised table of contenu, ff necessary. The reviaton submittal date should be printed In tho Tower right comet of each revlslon papa. A rover letter to the revision should explain the nature of the revlslon end reference the specific permit sections being revised. For federal mines, a copy of the revision applicatlon mustbe submitted to ail apsr-dea on the federal mailing list at the same time the application la submitted to the Division, and proof of distrbuton must be submitted to the Division along with the application. Copies of revlslon papas modified during the review process must be distributed in the same manner, elonp with proof of distribution. Proof of distribution must be submitted prior to implementation of the revision. For non-federal. mines, a copy of the appUcation for which the Division has Issued a proposed approval decision must be submitted to the OSM Albuquerque Reld Office (AFD1, and proof of submittal to AFD must b0 submhtsd to d1e Division prior to Implementation of the revision. Permit No.: C- 8 0- 0 0 6 Date: - 4 / 1 0 / 9 6 Permittee: Kerr coal company - .__. ` - r - ~ - - P. 0. Box 487 ._ - .._. _. , _ - - ~... Street: ,_. - - - _._. - .- - ,..... ~ -: - - - - ~~: Walden -- ~ -~----- State: ~ ~ Zip Code: 80480 ._.. - _ _ ` - - Brief Description of Revision: Change of Ad.dress_for Kerr Coal Company Public Notice Attached: Yea - No x /Required for PRs and TRs) y Bond Increase: Yes - No % Federal - Non-Federal - Mine Proposed Change in: pisturbed Area 5+1-1 ..~ ~ . ~ Acres Affected Area t+!-1 ,_ - ~ ~ Acres Permit Area (+/•) - - o o Aere! Federal Land (+/•) - .~ ~ ~ Acres State Land (+/-) - - ~ ~ AcreB Private land (+/-1 - .r 0 o Acres m:\oo~flah sr s\tarm~\ 9 ae 6