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pv co <br />ti. <br />..~~a , <br />=~'` COLORADO D~VISION OF MI\i TERALS AND GEOLOGY <br />,~a 6, 1313 Sherman Stre ,Room 215, Denver, Colorado 80203, (303) 866-3567 <br />- _ - ___ RFr~~ <br />SEP 2 3 2004 <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMI~risionofMinera~sandGeology <br />This form must be completed and submitted with all requests for minor revisions, as defined in Rule 1.04(73), <br />technical revisions, as defined in Rule 1.04(136), and permit revisions, as defined in Rule 1.04(90). All <br />revisions are to address the requirements of Rule 2.08.4. Three (31 copies of the revision, including maps, <br />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 revised sections, maps, <br />tables and/or figures, with a revised table of contents, if necessary. The revision submittal date should be <br />printed in the lower right corner of each revision page. A cover letter to the revision should explain the nature <br />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 (except OSM) at the same time the application is submitted to the Division, and proof of distribution must <br />be submitted to the Division along with the application. Copies of revision pages modified during the review <br />process must be distributed in the same manner, along with proof of distribution. Proof of distribution must <br />be submitted prior to implementation of the revision. <br />Permit No.: C - g~ - ~ (`~ Date: r'1 / ~O / D'+ <br />Permittee: ~'NE2Gy l=UELS CDAt-i 4*1~ <br />SOVTH FIELO MINE <br />Street: PO L-Iox 4 5 ~ l 15 Efts T MA i rJ s-r <br />City: FL D 2C tJ CE C o <br />State: G D Zip Code: g l 22(c - <br />Brief Description of Revision: A.DD i l! O /~ o f So / L S cHq R WGTOC21 ST I C S <br />Ah/!-}L~SfS rot EXHI(3tT ~`fAALL~IVIAL <br />VALLEY FLoorL ('`AVF~~~ <br />Public Notice Attached: Yes _ <br />Bond Increase: Yes _ No Z( <br />Soo ~ HFIELD L~ADOUT S lTE <br />No ~ (Required for PRs and TRsI <br />Federal <br />Non-Federal X Mine <br />Proposed Change in: <br />Disturbed Area (+/-) Acres <br />Permit Area 1+/-) Acres <br />State Land (+/-) _ _ _ _ Acres <br />Affected Area (+/-) Acres <br />Federal Land (+/-) Acres <br />Private Land (+/-) Acres <br />