REV07932

• Permit No: C1980001
• IBM Index Class Name: Revision
• Doc Date: 12/2/1993
• Doc Name: APPLICATION FORM FOR A REVISION TO A COAL MINING & RECLAMATION PERMIT
• Type & Sequence: MR31
• Media Type: D
• Archive: No

iii iiiiiiiiniu iii
STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources ~oF~~~~
Ne ;1».
1313 Sherman St., Room 215 ~ ~~~ ~
Denver, CO 80203 . ~ rose
Phone: [phone]
FAX: [phone]
APPLICATION FORM FORA REVISION Roy Romer
,
TO A COAL MINING AND RECLAMATION PERMIT a°"ef°°`
Michael B. long
' Division Director
This form must be completed and submitted with ali requests for minor
revisions, as defined in Rule 1.04(73), technical revisions as defined in
Rule 1.04(136) and permit revisions, as defined in Rule 1.04(90). All
revisions are to address the requirements of Rule 2.08.4. Three (3) copies of
your revision including maps must be submitted in order for it to be complete.
All revisions are to be formatted so they can be inserted into the permit to
replace the revised sections, maps, tables and/or figures. Explain in the
revlsfon what section is being revised. The revision date should be printed
in the tower right corner of the revision pages. 'i'f necessary, the Table of
Contents should also be revised. When the final version of the revision is
approved, the Federal operation 1s responsible for provfding one copy to each
of the agencies noted on the Federal Agencies Mailing List. For non-Federal
mines, the operation is responsible for provfding one copy to OSM in
Albuquerque (625 Silver Avenue, SW, Suite 310, New Mexico 67102). The
revision may not proceed until OSM has been provided copies. Copies should be
sent certified mail.
Permit No.: C - ~o - o o
Date: L ~,/ 2. ~/ °1 ~
RFC..'-~ rl~',
Perms ttee: T ~~~~~~ M~owA,LC~~.iyay co_
--------------- DEC 021993
Street: Zp_'~g,~_\']~- - - - -
city: QA~ cQ~eEV.---------------
State: ~ Q Zip Code: ~ o y t~'l - Q ~'1 6
Mine Name: EQNA-----------------
Brief Description of Revision: ~~iyCi€ i~sE~sT~a ~S~~E~usc._FG3 - - -

Public Notice
Attached -
Yes - - - - - - -
No ~ (Required - - - - -
for PR's and - - - -
TR's)
Bond Increase: Yes No ~- Federal ~ Non-Federal Mine
Proposed Change in:
Disturbed Area (+/-) - - O .- Acres
Permit Area (+/-) - - O .- Acres
State Land (+/-) - - Q Acres
Affected Area <+/-) - - Q. - Acres
Federal Land (+/-) - - ~ Acres
Private Land (+/-) - - a Acres
6185E (01/93)