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iii -i ii i ii i ii iiii -iii <br />STATE OF COLOR-AV0 <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />t 3t 3 Sherman St., Room 215 <br />Denver, CO 80203 <br />303 866-3567 <br />Fax: 303 832-Bt06 <br />pF pp~ <br />~~ ~.~'~9 <br />%C~~$ <br />• 'icy' <br />~re76 <br />Roy Romer, <br />Governor <br />Fretl R. Banta. <br />APPLICATION FORM FOR A REVISION Dirtsion Drreotor <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 far Federal mines and for <br />non-Federal mines 1 copy mist 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 - ~ ~ - ~ ~ L <br />Date: ~Z/~~/~~ <br />Permittee: L~.E-~LZZ.5..81L.SSi-~ MIDWAY <br />L~~1._.m.~aC.L~L.Iz.-l..a..- „Y~~~t~ <br />Street: ~~.-,Pr.,aX.-11Ja----- ~~~~ <br />--- --------___ AEG x,1993 <br />city: ~A.,>i.-S...sE€aC.---------- ~,o9y <br />~5 <br />State: ~ ~ Zip Code: $ ~ g. y_ 1 - - - - - _, u1;d`~.,ta ryJ~ <br />Mine Name: Dtv15D <br />EJZ~LA.---------------- <br />Brief Description of Revision: ~ ~ 8 ~ ~ ~ - ~ 8 g.~ ~ - - - - <br />~. S LL F 1 L ~ _. ~. cL. - 5 1C.L L J.. n/ r <br />S..a,9.J1------------ <br />Public Notice Attached - Yes ~ No ~ (Required for PR's and TR's) <br />Bond Increase: Yes No ~ Federal Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) - _ ~,i Acres <br />Permit Area (+/_) - _ ~,= Acres <br />State Land (+/_) - = ~ ~ Acres <br />Affected Area (+/_) - -_n,_ Acres <br />Federal Land (+/_) - _ ~ _ Acres <br />Private Land (+/-) - -_~ _ Acres <br />6185E (10/90) <br />