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.i <br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />1313 Sherman St.. Room 215 <br />Denver. CO 80203 <br />303 666-3567 <br />Fa x: 303 832-6106 <br />OF CO(O <br />~~~4s <br />~~'%18 <br />.. 8.~ <br />~ /976 ~ <br />Roy Romer. <br />Governor <br />Fretl R. Barra, <br />APPLICATION FORM FOR A REVISION O~vision G~reclor <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 <br />Date: 0 3/ 7 3/ 9, ~ ~~CEIVED <br />Permittee: T W E N 1„ ~~ 1 L ~, - C O A L <br />--------------- PAAR151991 <br />Street: z g 5 i 5-~QYS~---- <br />nAined sand <br />c o u N r ~, - g, Q~ IZ - Z ~ _. Reclamation Division <br />City: O A K- C R E ~JL,-_,--------- <br />State: C O Zip Code: ~ 2 y_ ~ L - - - - - <br />Mine Name: F O I D E ~, - ~, $ ~ ~ ~ - ~ L !y_ E - - _ <br />Brief Descri pti on of Revision: -FRESH- W A T E R- S Y S T E M - <br />R E P A I R A N D C O N S_T R U C_T I O N <br />OF T E M P O R A R Y FRESH WATER LINE <br />- - - - - - - - - - - - - - - - <br />Public Notice Attached -Yes i No X (Required for PR's and TR's) <br />Bond Increase: Yes X No Federal Non-Federal Mine <br />No additional bond required because TCC is overbonded - <br />Proposed Change in: <br />Disturbed Area (+/_) - - ~, 3 Acres <br />Permit Area (+/-) - _N /A . - Acres <br />State Land (+/-) - ~/8 Acres <br />Affected Area (+/-) - - ~.~ Acres <br />Federal Land (+/-) - ~ A Acres <br />Private Land (+/-) - ~ y_ Acres <br />