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<br /> <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Depanmem of Natural Resources <br />1313 Sherman St.. Room 215 Ily~~~ <br />Dem•er. Colorado 80203 I <br />Phone: 1)031 866-3567 <br />FAX:13031832.8106 APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT DEPARTMENT OF <br />NATURAL <br />RESOURCES <br />This form must be completed and submitted with all requests far minor revisions, as defined in Roy Romer <br />Rule 1.041731, technical revisions, as defined in Rule 1.041136), and permit revisions, as defined cove,nor <br />in Rule 1.04(90). All revisions are to address the requirements of Rule 2.08.4. Three (3) copies Executive Dihehce; d <br />of the revision, including maps, must be submitted in order for it to be complete. <br />Michael B Long <br />Drv~s~on Dneciur <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 submittal <br />date should be printed in the lower right corner of each revision page. A cover letter to the revision should <br />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 Western Regional <br />Coordinating Center (1999 Broadway Blvd., Suite 3320, Denver, CO 80202-57331, and proof of submittal <br />to OSM must be submitted to the Division prior to implementation of the revision. <br />Permit No.: C- 8 1. 0 1 9 Date: 3/_ 4/ 9 6 ,y~~'~C/+~~I/ <br />Permittee: C 0 L 0 W Y 0 C 0 A L__ % ~ `~I' OS 'r/) <br />C 0 M P A N Y L P iS~n p/ 1996 <br />Street: 5 7 3 1 S T A T E M/l,Pfd~Srk <br />H I G H W A Y 1 3 ~Na~a$Y <br />- - - - - - - - - - - - - - - <br />City: M E E K E R <br />State: C 0 Zip Code: 8 1 6 4 1- <br />Brief Description of Revision: E A S T_ P I T <br />C 0 A L R E M 0 V A L <br />- - - - - - - - - - - - - - <br />- - - - - - - - - - - - - - <br />Public Notice Attached: Yes _ Nc x /Required for PRs and TRsI <br />Bond Increase: Yes No K Federal x Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ ~ _ Acres Affected Area (+/-) _ _ ~ _ Acres <br />Permit Area (+/-) _ _ 0 _ Acres Federal Land 1+/-) _ _ ~ _ Acres <br />State Land (+/-) _ _ 0 . _ Acres Private Land (+/-) _ _ ~ • _ Acres <br />m:\coal\share\f orms\8865 <br />