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l <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY os~co~o <br />Depanment of Natural Resources ~F~ ~.~ <br />1313 Sherman SL, Ronm 115 Q~~j ~+ ~ <br />Denver, CO 8020) ~~ •• ~~+:! <br />Phone: 13071 8hh-JSfJ CEIVEo--- <br />FAX: 17031832 ~810h <br />APPLICATION FORM FORA REVISION Ruy Rnmr~ <br />TO A COAL MINING AND RECLAMATION PERMIT JUG 731995 ~„ ,,, ,,„ I„n~ <br />,,~~~~~~ Drvi+u,n ULrnnr <br />revisions,mastdefinedpintRalen1.04b73)tedechnicallrevQseotn~s1a~def~~L~6~9 Geology <br />Rule 1.04(136) 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 />Ali 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, the Federal operation is responsible for providing one copy to each <br />of the agencies noted on the Federal Agencies Mailing List. For non-Federal <br />mines, the operation is responsible for providing one copy to OSM in <br />Albuquerque (625 Silver Avenue, SW, Suite 310, New Mexico 87102). The <br />revision may not proceed until OSM has been provided copies. Copies should be <br />sent certified mail. <br />Permit No.: C- 8 1- 0 2 8 <br />Date: Q Z/ ~ l/ 25- <br />Permittee: C 0 O R ..S E N E R G Y C 0 <br />- - - - - - - - - - - - - - - <br />- - - - - - - - - - - - - - - <br />Street: P O B O X 4 6 7 <br />- - - - - - - - - - - - - - - <br />- - - - - - - - - - - - - - - <br />City: G O L D E N <br />- - - - - - - - - - - - - - - - <br />State: C 0 Zip Code: 8 0 4 0 _2 -~ 4` 6 7 <br />Mine Name: K E E N E S B L' R G t1 I N E ____ <br />- - - - - - - - - - - - - - - - <br />Brief Description of Revision: C H ~f~ ~ E_ _ ~ ~ _ ~ ~ .A L - - <br />S U P P ~ Y - _ _ _ _ - - - - - <br /> <br />Public Notice <br />Attached - <br />Yes - <br />X - - - - - - <br />No _ fRequired - - - - - <br />for PR's and - - - - <br />TR's> <br />Bond Increase: Yes No ~ Federal Non-Federal X Mine <br />Proposed Change in: <br />Disturbed Area (+/-) <br />Permit Area (+/-) <br />State Land (+/-> <br />_ 0 _ - Acres <br />0 _ - Acres <br />0 - Acres <br />Affected Area (+/-) <br />Federal Land (+/-) <br />Private Land (+/-) <br />_ p_ _ Acres <br />_ 0_ Acres <br />0 Acres <br />6185E (01/93) <br />