REV06991

• Permit No: C1980001
• IBM Index Class Name: Revision
• Doc Date: 8/14/1997
• Doc Name: APPLICATION FORM FOR A REVISION TO A COAL MINING & RECLAMATION PERMIT
• Type & Sequence: MR35
• Media Type: D
• Archive: No

DIVISION OF MINERALS AND GEOLOGY
Depanmenl of Natural Resources
7373 Sherman St., Room 215
Denver, Colorado 80203
Phone [phone]
STATE OF COt~lll IIIIIIIIIIIIIIII -
999
. ~~~~~
FAX: [phone] APPLICATION FORM FOR A REVISION
TO A COAL MINING AND RECLAMATION PERMIT DEPARTMENT OF
NATURAL
RESOURCES
This form must be completed and submitted with all requests for minor revisions, as defined in ~. ~,,,.r
Rule 1.04(73), technical revisions, as defined in Rule 1,04(1361, and permit revisions, as defined c~^~
in Rule 1.04(90). All revisions are to address the requirements of Rule 2.09.4. Three (3) copies lames. Lochhead
of the revision, including maps, must be submitted in order for it to be complete. °`eCY1Ye D""'0f
Midfaol B. Lang
Division Diretlor
All revisions are to be formatted so they can be inserted into the permit to replace the revised
sections, maps, tables and/or figures, with a revised table of contents, if necessary. The revision
submittal date should be printed in the lower right corner of each revision page. A cover letter to the
revision should explain the nature of the revision and reference the specific permit sections being revised.
For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing
list at the same time the application is submitted to the Division, and proof of distribution must be submitted
to the Division along with the application. Copies of revision pages modified during the review process must
be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted
prior to implementation of the revision. For non-federal mines, a copy of the application for which the
Division has issued a proposed approval decision must be submitted to the OSM Albuquerque Field Office
(AFO), and proof of submittal to AFO must be submitted to the Division prior to implementation of the
revision.
Permit No.: C- 8 0- 0 0 1 Date: 0 8/ 1 4/ 9 7
Permittee: The Pittsburg 8 Midwav Coal Mining Co.
Street: P.O. Box 176
City: Oak Creek
State: C O Zip Code: 8 0 4 6 7 -_ ___
Brief Description of Revision: Reclamation Liability update
Public Notice Attached: Yes _ No X (Required (orPRs and TRs)
Bond Increase: Yes No X Federal X Non-Federal Mine
Proposed change in:
Disturbed Area (+/-) _ _ 0 0 Acres
Permit Area (+/-) _ 0 0 Acres
State Land (+/_) _ _ 0 0 Acres
m: \coalLsh are\(orms\8665
Affected Area (+/-) _ _ 0 0 Acres
Federal Land (+l-) _ _ 0 0 Acres
Private Land (+/_) _ _ 0 0 Acres
RECEI~!~D
AUG 1 5 1997
Divisicn of Minerals 8 Geoiogp