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<br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION of =~~ <br />Department of Natural Resources N~ '~> <br />t3t3 Sherman St.. Room 215 ~$ <br />Denver. CO 80203 ` ~~~ <br />303 8663567 ~ i•ra~s` <br />FA X: 303 832-8106 <br />Roy Romer, <br />Gwemor <br />' Fred R. Banra. <br />APPLICATION FORM FOR A REVISION Gr~s~eeG~recto. <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 />A11 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 1s 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 - -g ~ - ~ ~ Z <br />Date: 0 2/ ~ ..I./ .2 1 <br />Permittee: M O t~„~, ~ g ~„~ _~~~ 1,, _ C O M P A N Y <br />(d,b.a.)W E S T_ E L K~ C O A L_ ~,O M P A-N"YJ-;I ~I• C. .}„ <br />Street: P o a o x 5 9 1 - <br />City: S O M E R S E T _ii_______ SEP301991 <br />State: C O Zip Code: 8 1 4 3 4- 0 5 9 1 tlliin2dLancl <br />Mine Name: W E .. (a.k.a. Mt ~Gunnaiso~n11r~5f0~P <br />._S. T. ,_ E.. ~ IL . M_ 1,. DL S.. . <br />Brief Description of Revision: A p ~ L ~ L ~ ~ : ~g _ _ _ _ Mine) <br />T O P S O I L _,S T_0 C_K Pte, ~,~ <br />Public Notice Attached - Yes No X (Required for PR's and TR's) <br />Bond Increase: Yes No X Federal Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) <br />Permit Area (+/-) <br />State Land (+/-) <br />_ _ 0 . 3 Acres <br />_ , 0 . 0 Acres <br />0 .0 Acres <br />Affected Area (+/=) _ _ 0 0 Acres <br />Federal Land (+/-) _ ~ Q, 0 Acres <br />Private Land (+/-) 0 . 0 Acres <br />6185E (10/90) <br />