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<br />'`,
<br />~T,a~ E OF COLS III IIIIIIIIIIIII III
<br />~,:,
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<br />Roy Romer. Gove
<br />DEPARTMENT OF NATURAL RESOURCES
<br />IV91NE0 ~.AI~ID RECI..AMAYION DIVISION
<br />FRED A. BAMTA, Dlnetor APPLICATION FDRH FOR A REY I$ION
<br />TO .A COAL MINING ANG RECLAMATION PERMIT
<br />This form must be canpleted and submitted Mith all requests for minor revisions, as defined
<br />1n Rule 1,04(73), technical revisions as defined in Rule 1,04(36) and permit revisions, as
<br />defined in Rule 1,94(90). All revisions are to address the requirements of ?ule 2.08.4.
<br />7hxxe copies of your recision lncludioo maps must be submitted in order fer it to be ccmplet
<br />A11 revisions are to De formatted so they cen be inser*.ed into the permit to replace the
<br />revised sections, maps, tables and/or figures. Explain in the revision xnat section is heir,;:
<br />revised. The revision date should be printed to the lower right corner of the revision
<br />pages. If necessary, the TaC1e of Contents should also be revised. 'dhen the final version
<br />of the revision is approved, 7 copies must be sent :o OSt1 ir, Cenver for -"ederal mines and f_-
<br />non-Federal mines 1 copy must be sent to GSM at 625 Silver Avem:e, Ss~, Suite 310,
<br />Albuquerque, New Mexico o11C2. The revision m~; no; proceed until GS.M has been provided
<br />copies. C:pies should be sent certified mail.
<br />Date: jZ 9,' ? S / 3 0
<br />Permtttee: (,V ~ o m i ~ ~ - ~s1 .~ L - ~ Q ~ ECEI`'~='~'
<br /> :.
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<br />.,tree:: 1SZLSQ-~t~~ wa ---
<br />d.-L?
<br />OCT1 ~:~
<br />------ -
<br />City: 1il e
<br />~ ~ o n --- Mined~a •.
<br />,
<br />- - - - - - - - - - - - -declamation i
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<br />~or
<br />
<br />State: ~ ~ ztp code: 8 L D ~ ~ -
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<br />Permit Flo.: r. - S L - o l Z ~`` .
<br />seine Kane: N e w ~LLC- Al ~ n .~. ------ --
<br />ts ox ,o a ,i a to y e tvtstor.:
<br />Type of Revision: L ~ (PR, TR, or MP) ,/ ~.A, ~'~'
<br /><.
<br />?evisicn 1::~^ber: ~ L (°?~uentizl by nevi;i7n 'sae? - ~,`-~'~- ~ '!
<br />Rev. sum i ~tal Date: 1 ~ .~ L ~ L! °~
<br />/ (Date R.
<br />ive~ oy ;,'.vis'.'
<br />~ ~ ~ ~~., ^•~~ ;
<br />~~/~,1,'
<br />Pev. Completeness Date: L ~/~ ~/~~ Rev. Incompleteness Dz: =: - -~- _-- -
<br />iev. Adequa=y :`~e Date: L L;'~ ~/~ ~ R•;v. .4deouzcy Dat^: - -/- - - -
<br />?ev. Decision Due Czte: / d /~ ,3/~ ~ Lead Pecianaticn ;;e:ia l,_:: ~ ~ - ~.~
<br />orte !escr:paen or Kev.ster,: - e. ~ - c c e ,5,_ ~ - - 2 g ~
<br />~ ° ~ - R ~ ~
<br />- -
<br />-- -
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<br />Pub1iC IIGL1ce Attached -Yes
<br />/ NO Recta .
<br />red =r,r %? 5 a.nd . -
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<br />r, ;~
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<br />3ond :ncrer.se: Yes / !'o -'rer_er~l ':^n-=e~era~ / "'.nr
<br />proposed %hanne in: ----
<br />( sturoed Area (~/-)
<br />2.
<br />O Acres Affected area !-,'-) Z 4 A~re~
<br />_ _ _
<br />_
<br />Acres Federal
<br />'vomit Area (±!-) . _ -
<br />Land (+/_j _
<br />acres
<br />_
<br />Stet? Land (+/_) - - -
<br />Acres Private Land (-/-1 - - - ;9cr=;
<br />_
<br />61flEF (Rev. 10/361 - _
<br />275 Cen!anrvat 8uu~i~q, t313 Sherman Stre~! Cem?r. ~o~oracc t?C20:~2^_'3 Tee. ,~03~ an:; '~~;,-
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