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• ~ JRN-29-'93 10:12 ID: CO MINED LAND REC'L TEL N0:303-832-8106 8041 P02 - - <br />STATE OF ~C?LQRADCJ <br />DIVISION OF MINERAI$ AND GEOLOGY <br />DepaAment o! Natural Resources <br />1313 Sherman 51., Room 215 <br />, <br />DRnvay CO ap20) ~~ `~ <br />Phono:()031~66.3567 <br />FAx:(71A1e3Z•6106 <br />... - APPLICATION FORM FOR A REVISION Rory ROiner <br />TO A COAL MINING AND RECLAMATION PERMIT cnvemer <br />M~cha°18. lanR <br />DNhbn Dla:cror <br />This form must he completed and submitted with all requests i'or minor <br />revisions, as defined 1n Rule 1.04<73), technical revisions as defined 1n <br />Rule I.04(136) and permit revisions, as defined in Rule 1.04(90). All <br />revisions are to address the requirements of Rule 2.06.4. Three (3) copies bf <br />your revislgrt~lncluding maps must be submitted in order for it to be complete. <br />A11 revisions are to be formatted so they can be inserted into the permit to <br />replace the L•evlsed sections, maps, tables and/or figures, t:xplatn to the <br />revlston what section is befog 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, the Federal operation 1s responsible for providing one Copy to each <br />of the agencies noted on the Federal Agencies Mailing List. For nvn-Federal <br />mines, the operation fs responsible for providing one copy to OSM in <br />Albuquerque <625 Silver Avenue, SW, Suite 310, New Mexico 87102). The <br />revision may not proceed until OSM has been provided copies. Copies should be <br />sent certlfted mall. <br />Permit No.: C - ,~~ - o ~~ <br />Date: _ ~/ _2 / / ~ 3 <br />Permlttee: ,uRoctr( ~ostC C~-«~/++~ y RECF'IVF(- <br />Street: / 3 So ~ 7 ~-S'. _-_Sw_r rr+j 3 s_o JUN 2 2 ]993 <br />- ._.. - ._ - - - - - - - i)IVISI0l1 of Mme~dis u ~ewuy; <br />crty: ~wt~~i2-- _--------~--- <br />5tate: e0_ Zip Code: -fie 2~~0~~-a,_ - _ _ _ <br />Mine Name: _ ~,w~i4_ot~ Ce~+L vGlrti~ _^_ _ _ - <br />Brief Description of Revision: .~[~f~ ~v~_zrzvre.c~ ~t_w~ ~iscr~.oR~"$- T <br />`US~S!44'3-N- Sia-~<Pi/~i ~ Ce~,xW95iTl~ , <br />Public Notice Attached <br />- Yes ~ No _ (Required for PR's and TR's> <br />Bond Increase: , <br />Yes - No ~, Federal ! Non-Federal ~ _ Mine <br />Proposed Change in: /U/~- <br />blsturbed Area (+/-) ^ - - - Acres Affected Area (+/-) - ~ -! Acres <br />Permit Area (+/-> - _ - ,_ Acres Federal Land (+/-) ~ - - Aches <br />_.... ,• State Land (+/-) - - ~ Acres Private Land (+/-) - - - Acres <br />6185E (01/93) <br />