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`\1. <br />~ ~ III IIIIIIIIIIIIIIII <br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />7373 Sherman St., Room 275 <br />Denver. CO 60203 <br />303 866.3567 <br />Fn X: 303 832.8106 <br />OF' Cpl <br />E' 7~ <br />=~a <br />.. <br />r876 ~ <br />RcY Rmw, <br />Gv+artior <br />' Fretl R. Bann. <br />APPLICATION FORM FOR A REVISION Division Dae:Wr <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 />Ail 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 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- 8 1 - o I o ~„ <br />~~~Ca~ ~r <br />Date: 1 0/ 0 8/ 9 1 Zf. <br />Permittee: T R A P P E R M I N I N G <br />I N C -----------~rll )591 <br />- - - - - - - - - - - - - - - <br />Street: P _ o_ s o_x_ i a ~ _ _ _ Mined Land <br />- - - - - - - - - - -~,-cfamation Division <br />C ity: C R A I G <br />State: C 0 Zip Code: 8 1 6 2 6 ----- <br />Mi ne Name: T R A P P E R M I N E <br />Brief Description of Revision: A N F o - s I L o ~,~ ~ ~ - - - <br />F R O M D P I T T O E P I T <br />Public Notice Attached - Yes ~ No x (Required for PR's and TR's) <br />Band Increase: Yes No x Federal Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) - - o . o Acres <br />Permit Area (+/-) - , 0 , o Acres <br />State Land (+/-) Acres <br />6185E (10/90) <br />Affected Area (+/_) _ _ o .o Acres <br />Federal Land (+/-) - - - Acres <br />Private Land (+/_) Acres <br /> <br />