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.`~~° , COLORADO DIVISION OF 11IINERALS AND GEOLOGY <br />P <br />~~ ~, 1313 Shaman S[re .Room 215, Denver, Colorado 80203, (303) 866-3567 <br />f~Cf ;L'I~'_^i <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT ~C I 'L 3 1997 <br />This form must be completed and submitted with all requests for minor revisions, as defined in Rule 1.041731, <br />technical revisions, as defined in Rule 1.0411361, and permit revisions, as defined in Rule 1.041901. All <br />revisions are to address the requirements of Rule 2.08.4. Three 13) 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 mgdified 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 />PermR No.: C - 8D - 006 Date: to l n / a7 <br />Permittee: KERR COAL COMPANY <br />POST OFFICE BOX 487 <br />Street: 1130 COUNTY ROAD 29A <br />City: MALDEN <br />State: ~_ Zip Code: aneaD - <br />Brief Description of Revision: CHANGES IN TIPPLE RECLAMATION PLAN <br />Public Notice Attached: Yes g No _ (Required for PRs and TRsJ <br />Bond Increase: Yes _ No ~ ~ Federal _ Non-Federal ~ Mine <br />Proposed Change in: <br />Disturbed Area Q+/-) _ _ Z . i Acres <br />Permit Area ~-) _ _ 2 5 Acres <br />State Land (+/-) _ _ _ _ Acres <br />Affected Area ~-) _ , Z . ~ Acres <br />Federal Land (+/-) _ _ _ _ Acres <br />Private Land ~-) _ ~ ~ . ~ Acres <br />