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®: COLORADO DIVISION OF NIINERALS AND GEOLOGY <br />1313 Sherman Stre ,Room 215, Denver, Colorado 80203, (303) 866-3567 <br />RECEIVED <br />APPLICATION FORM FOR A REVISION MAV <br />TO A COAL MINING AND RECLAMATION PERMIT ~'S ~~ <br />Divisan of Minerals sOBObgy <br />This form must be completed and submitted with all requests for minor revisions, as defined in Rule 1.04(731, <br />technical revisions, as defined in Rule 1.04(136), 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 the revision, including maps, <br />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 replace the revised sections, maps, <br />tables and/or figures, with a revised table of contents, if necessary. The revision submittal date should be <br />printed in the lower right corner of each revision page. A cover letter to the revision should explain the nature <br />of the revision and reference the specific permit sections being revised. <br />For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing <br />list (except OSM) at the same time the application is submitted to the Division, and proof of distribution must <br />be submitted to the Division along with the application. Copies of revision pages modified during the review <br />process must be distributed in the same manner, along with proof of distribution. Proof of distribution must <br />be submitted prior to implementation of the revision. <br />Permit NO.: C - 96 - 083 Date: O5 / 03 / 99 <br />Permittee: aoty; a Resources L•imi ted <br />Street: P.O Box 483 <br />City: <br />State: ~~ Zip Code: s 14 2 s - <br />Brief Description of Revision: Tncornorate 1 ongwall mining techn; c;ue into <br />Public Notice Attached: Yes ~ No _ (Required for PR's and TR's) <br />Bond Increase: Yes _ No ~ Federal _ Non-Federal ~ Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ Q.Q Acres <br />Permit Area (+/-) _ _ Q.Q Acres <br />State Land (+/-) _ _ Q.Q Acres <br />Affected Area (+/-) <br />Federal Land (+/-) <br />Private Land (+/-) <br />_ _ Q.Q Acres <br />_ _ Q. Q Acres <br />_ _ Q.Q Acres <br />