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<br />STATE <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1717 Shaman 51., Room I I S <br />ApR 2 4 1995 <br />Denver, Colorado 80203 ~WiOiDn <br />Phone: (3071866.3567 01 Mineralg 4 <br />FA%: 13031 6]2.6106 APPLICATION FORM FOR A REVISION ueoiogy <br />TO A COAL MINING AND RECLAMATION PERMIT <br />D1TAllZMFllT OF <br />NATURAL <br />RESOURCES <br />This form must be completed and submitted with all requests for minor revisions, as defined in Rej.ao„K, <br />Rule 1.04(73), technical revisions, as defined in Rule 1.0411361, and permit revisions, as defined ~n~ <br />in Rule 1.04(90). All revisions are to address the requirements of Rule 2.08.4. Three 131 copies Wn~, s. I.«nhod <br />of the revision, including maps, must be submitted in order for it to be complete. Ek°""1e Di1C00f <br />Miduiel B. lAn6 <br />Division Dirtcmr <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 comer 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 />IAFO), and proof of submittal to AFO must be submitted to the Division prior to implementation of the <br />revision. <br />Permit No.: C - 80 _ - 006 _ _ Date: 04_ / 21 _ ~5 <br />Permittee: Kerr Coal Company <br />- - - - - - - - - - - - - - - <br />Street: L'~O Box 487 _ _ _ _ _ _ _ _ _ _ _ <br />City: 1~/alden_ _ _ _ _ _ <br />State: CO_ Zip Code: 80480 _ _ _ <br />Brief Description of Revision• Modification of the contour furrows _ <br />Public Notice Attached: Yes _ No X (Required for PRs and TRsI <br />Bond Increase: Yes _ No ~ Federal <br />Non-Federal _ Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ 0 •0 Acres <br />Permit Area (+/-) _ _ 0 .0 Acres <br />State Land (+/-) _ _ ~, .0_ Acres <br />Affected Area (+/-) _ _ 0 <br />Federal Land (+/-) _ _ ~ <br />Private Land (+/-) 0 <br />0 Acres <br />~ Acres <br />0 Acres <br />m: \co el\shere\forms\8885 <br />