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STATE C)F COLC III IIIIIIIIIIIII III DIVISION OF MINERALS ANO GEOLOGY Department or Natural Resources 1313 Sherman St., ROOm 215 Denver, Colorado 8020? RECE Phone:13031866-3>67 FA%;13031 832.8106 gppLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMATION PERMIT OCT 1 ] Division o/ Minera This form must be competed and submitted with all requests for minor revisions, as defined in ' Rule 1.04(731, technical revisions, es defined in Rule 1.04(138}, end permit revisions, as defined in Rule 1.04190). All revisions ors to address the requirements of Ruls 2.08.4. Three f3) copies of the revision, including maps, must be submitted in order for it to be complete. All revisions ors to be formatted so they can be inserted into the permit to replace the revised sections, maps, tables andlor figures, with a revised table of contents, if necessary. The revision submittal date should be printed in the lower right corner of each revision page, A cover letter to the revision should explain the nature of the revision and reference the specific permit sections being revised. For federal mines, a copy of the revision application must be .submitted to all agencies on the federal mailing ' list at the same time the application is submitted to the Division, and proof of distribution must be submitted to the Division along with the application. Copies of revision pages modified during the review process must be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted prior to implementation of the revision. For non-federal mines, a copy of the application for which the Division has issued a proposed approval decision must be submitted to the OSM Western Regional Coordinating Center (7999 Broadway 81vd., Suite 3320, Denver, CO 80202-5733), and proof of submittal to OSM must be submitted to the Division prior to implementation of the revision. Permit No.: C - 81_ 028 _ Date: 10_ / ~Q6_ / 00 Permittee: COORS ENERGY COMPANY Street: P.0_ BOX ,•9§7_ ~ _ _ _ _ _ ,_ _ _ _ - - - - - - - - - - - -- - - - City: GOLDEN State: CO_ Zip Code: 80402 _ _ _ - _ _ _ _ Brief Description of Revision: CLARIFICATION OF STIPULATION NO_24_ _ _ _ Public Notice Attached: Yes _ No 1SX (Required for PRs and TRs) Bond Increase: Yes _ No ~x Federal _ Non-Federal -~ Mine Proposed Change in: Disturbed Area (+/-) _n/a _ _ Acres Affected Area (+!-) _nLsZ _ Acres Permit Area (+/-) _n/~ _ _ Acres Federal Land (+/-) -rI/~ _ _ Acres State Land (-~l-) _nL - -Acres Private Land (+/-1 _n/~ _ _ Acres m:\coallshare\formsl££65 Go•er„o. lames 5. Lochhead Executive Director Michael B. inns Division Dirrttor