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STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />t3t3 Sherman St., Room 2t5 <br />Denver. CO 60203 <br />303 866-3567 <br />Fa x: 303 632-Bt06 <br />pF CO~ <br />Ne/_.: \ <br />t ~'?> <br />• : ~, : ~~ <br />rA'!6 <br />Roy Romer. <br />Governor <br />' Fred R. Banta. <br />APPLICATION FORM FOR A REVISION oivislon onrtor <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This form must be completed and submitted with all requests for minor <br />revisions, as defined in Rule 1.04(73), technical revisions as defined in <br />Rule 1.04(36) and permit revisions, as defined in Rule 1.04(90). All <br />revisions are to address the requirements of Rule 2.08.4. Three (3) copies of <br />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 <br />replace the revised sections, maps, tables and/or figures. Explain in the <br />revision what section is being revised. The revision date should be printed <br />in the lower right corner of the revision pages. If necessary, the Table of <br />Contents should also be revised. When the final version of the revision is <br />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 <br />310, Albuquerque, New Mexico 87102. The revision may not proceed until OSM <br />has been provided copies. Copies should be sent certified mail. <br />Permit No,: C- 8 2- 0 5 6 irll~~~~~7 ~ O <br />Date: 0 7/ 0 7/ 9 1 <br />Permittee: T yy E~ L~~ 1 Z Z- C O A L JUL U w 9~~1 <br />--------------- Niinc~dLt.tn~i <br />Street: z s s ~ ,~, -, ~ Q y„ 1 ~ - - - ,- Reclarliatlon l7ivislon <br />C O U N T Y..-.<iQ, ~lZ.-1Z- <br />City: O A K- C R ~,~,JL„-----_,--_,-- <br />State: C O Zip Code: ~ 2 ~ Z Z - - - - - <br />Mine Name: F O I D E ~, - ~ g ~ ~,~, - ~G L bL E. - - _, <br />Brief Description of Revision: 7997 DEVELOPMENT DRILLING - _, - _, <br />PROGRAM -AND -INSTALLATION _, _, ,- <br />OF- MONITORING -WELL - - - - _, ,_, <br />Public Notice Attached -Yes No X (Required for PR's and TR's) <br />Bond Increase: Yes X No ~ Federal X Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/_) _ _ 0. 7 Acres <br />Permit Area (+/-) Acres <br />Affected Area (+/=) _ 0. ~ Acres <br />Federal Land (+/-) - - - Acres <br />State Land (+/-) Acres Private Land (+/-) Acres <br />