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<br /> <br /> <br />MINED LAND RECLAMATION DIVISION <br /> oF.~~, <br /> <br />Department of Natural Resources ~~ <br />< Qv <br />~ <br />t373 Sherman SL. Room 2!5 <br />Denver. CO 80203 ' Q~] '~~ <br />~ <br />•`~~y`:J <br />^ <br />303 866-3567 . <br />~ ~' <br />~ <br />• <br />Fax: 303 832-at06 <br />reT6 <br /> Roy Romer, <br /> Governor <br /> FreC R. Boma. <br />APPLICATION FORM FOR A REVISION o~vision olreGOr <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 1- 0 1 9 <br />Date: Q 4/ z a/ 9 z <br />r- <br />Permittee: c o L o w Y o- c o n L- c`~~~~~`/~';-. <br />Street: s 7 3 1 s T A T E x w Y -iPR 29 19~• <br />1..i- ---_.---- _Minedlanc <br />city: M E E _K E R - - - - - - - FfBh'IAm7t(tir+ n:. .•_ <br />State: c o Zip Code 8 i 6 a i- ---- <br />Mine Name: c o L o w Y o- <br />- - - - - - - - - - - - - - - - - - - - <br />Brief Description of Revision: M o D I F I c A T I o N - T O- <br />P E R M I T B O U N D A R Y <br />A N D P 0 N D C 0 N S T R U CTIG?: <br />Public Notice Attached - Yes x No _ (Required for PR's and TR's) <br />Band Increase: Yes x No Federal x Non-Federal Mine <br />Proposed Change in: <br />Disturhed Area (+/-) _ _ ~ ._6 Acres <br />Permit Area (+/-) _ i .; Acres <br />u to Land (+/-) a Acres <br />5185E (10/90) <br />Affected Area (+/-) 2 6 Acres <br />Federal Land (+/-) _ p Acres <br />Private Land (+/-) l 7.5 Acres <br />