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STATE III IIIIIIIIIIIIIIII <br />OF CCd~~~ <br />Roy Romer, Governor <br />S E ~,~ $ <br />DEPARTMENT OF NATURAL RESOURCES <br />MINED LAND RECLAMATION DIVISION <br />FRED R. BANTA, Dlreetor APPLICATION FORM FORA REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This form must be completed and submitted with all requests for minor revisions, as defined <br />in Rule 1.04(73), technical revisions as defined in Rule 1.04(36) and permit revisions, as <br />defined in Rule 1.04(90). All revisions are to address the requirements of Pule 2.08.4. <br />Three copies of your revision including maps 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 <br />revised sections, maps, tables and/or figures. Explain in the revision what section is being <br />revised. The revision date should be printed in the lower right corner of the revision <br />pages. If necessary, the Table of Contents should also be revised, When the final version <br />of the revision is approved, 7 copies must be sent to OSM in Denver for Federal mines and for <br />non-Federal mines 1 copy must be sent to OSM at 625 Silver Avenue, SW, Suite 310, <br />Albuquerque, New Mexico 87102. The revision mdy not proceed until OSM has been provided <br />copies. Copies should be sent certified mail. <br />Date: 0 9/ 2 4/ 9 0 <br />Permittee: W E S T E L K C O A L <br />- - - - - - - - - - - - - - - <br />C O M P A N Y <br />Street: p 0 B O X 5 9 1 <br />- - - - - - - - - - - - - - - <br />- - - - - - - - - - - - - - - <br />City: S~ O M E R S E T_ <br />State: C 0 Zip Code: 8 1 4 3 4- <br />Permit Nor: C- 8 0- 0 0 7 <br />Mine Name: M T. G U N N I S O N N O. 1 <br />is ox o e i e in y e ivision: <br />Type of Revision: _ _ (PR, TR, or MR) <br />Revision Number: _ _ (Sequential by Revision Type) <br />Rev. Submittal Date _ _/_ _/_ _ (Date Received by Division) <br />Rev. Completeness Date: _ _/_ _/_ _ Rev. Incompleteness Date: _ _/_ _/_ _ <br />Rev. Adequacy Due Date: _ _/_ _/_ _ Rev. Adequacy Date: _ _/_ ~/_ _ <br />Rev. Decision Due Date: _ _/_ _/_ _ Lead Reclamation Specialist: _ <br />r..n ..err.... .nn n n.. • n. -. ....+,...+.~ ...- ...++.nn +n n.vn.r` nana i i v n <br />approximately 3.8 mi'Ilion tpy. <br />Public Notice Attached - Yes X -Ro ~qut rem ~r~R s and~R s ) <br />Bond Increase: Yes No y_ federal Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ ~,~ Acres Affected Area (+/-) 0 . 0 Acres <br />Permit Area (+/-) - _ ~,~ Acres Federal Land (+/-) - - p, p Acres <br />State Land (+/_) "- _ ~. 0 Acres Private Land (+/-) _ _ 0. 0 Acres <br />6185E (Rev. 10/88) <br />215 Centennial Building, 1313 Sherman Street Denver, Colorado 80203-2273 Tel. (3031866-3567 <br />