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•~\ n <br />STATE OF COLORADO <br />Roy Romer, Govei <br />DEPARTMENT OF NATURAL RESOURCES <br />MINED LAND RECLAMATION DIVISION <br />FRED R. BANTA, Dlrsctor <br />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 Rule 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 />- irovised--lne re-riSiuii dai:e silouid i3e-printeu in-ihe luwe'r• riyhi: cornar 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 3i 0, <br />Albuquerque, New Mexico 87102. The revision may not proceed until OSM has been provided <br />copies. Copies should be sent certified mall. <br />Date: ~1/~~/~~ <br />Permittee: Twin Plnes INvestment Limited Par~ne~h~'p <br />Falcon En~av. Incy, ~n~a1P~tyg.~'~}n~Ines No. 2 Mine <br />Street: g~,o~asx3,45.~----------RECEIVED <br />--------------- <br />city: ~>~~~------------ MAR-11988 <br />State: ~ ~ zip Code: g L 2 L 2 - - - - - MINED LAlva <br />Permit No.: C - ~ ~ - ~ ~ ~ RECLAMATION (71VI~ICSI~ <br />1s ox o e a n y a iv s on: <br />Type of Revision: _ _ (PR, TR, or MR) <br />. Revision Number _ _ (Sequential by Revision Type) <br />Revision Submittal Date - % /_ (Date Received by Division) - ~- - <br />Revision Completeness Date -/-/- Revision Incompleteness Date -/-/_ <br />Revision Adequacy Due Date -/-/- Revision Adequacy Date -/-/- <br />Revision Decision Due Date / / Fee X0.00 <br />Brief Description of Revision: Min TERM REVIEW RESPONSE <br />Pub1 is Notice Attached - Yes ~o (~q~re~ i•or~R s and~'R s)- - <br />8ond Increase: Yes No _g Federal Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/_) Acres Affected Area (+/-) <br />Acres <br />Permit Area (+/-) _ _ _ - <br />Acres Federal Land _ _ _ <br />(+/-) - Acres <br />State Land _ <br />(+/-) Acres Private Land (+/-) - - - Acres <br />Lead Reclamation Spec~lTst 6185E (Rev-2788) <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203-2273 Tel. (303) 866-3567 <br />