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<br />III IIIIIIIIIIIII III <br />999 <br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION oF.~o~ <br />Department of Nawral Resources N j~ <br />1313 Sherman St., Room 215 ~ ~$ <br />Denver, CO 80203 '~~' <br />303 8663567 ~: ~:~ <br />Fn x: 303 8328106 <br />Roy Romer, <br />Govenwr <br />Fred R. Banta. <br />APPLICATION FORM FOR A REVISION Division Director <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This farm must be completed and submitted with all requests for minor <br />revisions, as defined in Rule 1.04(73), technical revisions as defirred 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 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 - 8 1- 0 2 2 <br />Date: 0 5/1 8/ 9 3 <br />Permittee: S O M E R S E T- M I N I N G- C O M P A N Y <br />;~. <br />---------------------Ige~EIVF_p -- <br />Street: P_ O _- B O X- 5 3 5-------------- <br />--------------------A~A-;~~4-jgg~-- <br />City: S O M E R S E T <br />- - - - - - - - - - - - - - - - - - - - - <br />State: C 0 Zip Code: 8 1 4 3 4 - - - - - Drvisr~;, ~,~„~~ <br />Mine Name: S O M E R S E T-&- S A N B O R N- C R E E K ___ <br />Brief Description of Revision: I NCO R P O R A T E- M I N E--- <br />I N F L O W -MAP - S= 0 5 0--- <br />I N T O P E R M I T <br />- - - - - - - - - - - - - - - <br />Public Notice Attached - Yes _ No XX (Required for PR's and TR's) <br />Bond Increase: Yes _ No XX Federal XX Non-Federal _ Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ 0.0 Acres Affected Area (+/-) _ _ 0.0 Acres <br />Permit Area (+/-) - - 0.0 Acres Federal Land (+/-) - - 0.0 Acres <br />State Land (+/-) - - 0 Acres Private Land (+/-) - - 0 Acres <br />6185F (10/90) <br />