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l""~ <br />STATE, OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY RECEIVEQ ~~ <br />OeDanment or Natural Resources I~~~~ <br />1313 Sherman SI., Room 215 MR 144 <br />Denver, Colorado 80207 NOV 0 4 1994 <br />Phone: (3031866-3567 <br />FAx: (3031832-8106 APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION l~l~~~l~l Minerals 8 GeologyDEPARTMEN-I' Of <br />NATURAL <br />RESOURCE <br />This form must be completed and submitted with all requests for minor revisions, as defined in Roy Romer <br />Rule 1.04(731, technical revisions, as defined in Rule 1.041361, and permit revisions, as defined Governor <br />in Rule 1.04(901. All revisions are to address the requirements of Rule 2.08.4. Three 131 copies lame: s. l«nhead <br />of the revision, including maps, must be submitted in order for it tD be complete. tae<utive DirMOr <br />Michael B. long <br />Divition Director' <br />All revisions are to be formatted so they can be inserted into the permit to replace the revised <br />sections, maps, tables and/or figures, with a revised table of contents, if necessary. The revision <br />submittal date should be printed in the lower right corner of each revision page. A cover letter to the <br />revision should explain the nature 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 at the same time the application is submitted to the Division, and proof of distribution must be submitted <br />to the Division along with the application. Copies of revision pages modified during the review process must <br />be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted <br />prior to implementation of the revision. For non-federal mines, a copy of the application for which the <br />Division has issued a proposed approval decision must be submitted to the OSM Albuquerque Field Office <br />(AFOI, and proof of submittal to AFO must be submitted to the Division prior to implementation of the <br />revision. <br />Permit No.: C - BO _ 007_ _ Date: 11 / O1 _ / 94 <br />Permittee: Mountain Coal Company <br />- - - - - - - - - - - - - - - <br />- - - - - - - - - - - - - - - <br />Street: P.O. Box 591 <br />- - - - - - - - - - - - - - - <br />Somerset, CO <br />- - - - - - - - - - - - - - - <br />City: _ Somerset ___________ <br />State: _ r~ Zip Code: gL434=09.1 - - - - _ - <br />Brief Description of Revision: Mjnor Revision 14~s-Built Drawines and Certifications <br />- - - - - - - - - - - - - - <br />Public Notice Attached: Yes _ No x /Required for PRs and TRsJ <br />Bond Increase: Yes _ Nog Federal g Non-Federal _ Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ 0 0 Acres Affected Area (+/-) _ _ ~ <br />Permit Area (+/-) _ _ ~ ~ Acres Federal Land (+/-) _ _ ~ <br />State Land (+/-) _ _ ~ ~ Acres Private Land (+/-) _ _ ~ <br />m:\coal\sh ere\farms\8885 <br />0 Acres <br />~ Acres <br />~ Acres <br />