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rte. STATE OF COLORADO DIVISION OF MINERALS ANDCEOLOGY RECEIVED ~~ Department of Natural Resources I~~~~~ IJI l Sherman 51., Room 215 JUL 2 q 1995 Denver, Colorado e020J Phone: 11011 e66-7567 FAx:lJlnl aJZ•oloe APPLICATION FORM FOR A REVISIOdiy,si f Minerals & Geolo ErARTnaetar OF TO A COAL MINING AND RECLAMATION PERIIRIT gP_A,I,URAL RESOURCE This form must be completed and submitted with all requests for minor revisions, as defined in Roy RUmer Rule 1.04(73), technical revisions, as defined in Rule 1.041361, and permit revisions, as defined governor in Rule 1.041901. All revisions are to address the requirements of Rule 2.08.4. Three (3) copies lames 5. L«hhcad of the revision, including maps, must be submitted in order for it to be complete. r=ttNivc Direct°` Michael 0. long All revisions are to be formatted so they can be inserted into the permit to replace the revised Division Dirttlor sections, maps, tables and/or figures, with a revised table of contents, if necessary. The revision submittal date should be printed in the lower right corner of each revision page. A cover letter to the revision should explain the nature of the revision and reference the specific permit sections being revised. For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing list at the same time the application is submitted to the Division, and proof of distribution must be submitted to the Division along with the application. Copies of revision pages modified during the review process must be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted prior to implementation of the revision. For non-federal mines, a copy of the application for which the Division has issued a proposed approval decision must be submitted to the OSM Albuquerque Field Office (AFO), and proof of submittal to AFO must be submitted to the Division prior [o implementation of the revision. Pcrntit No.: C- 8 1- 0 2 2 Date: 0 7/ 2 I/ 9 5 Perntittcc: S O M E R S E T _ M I N I N G_ C O M P A N Y____ - - - - - - - - Street: P _O __ B 0 X - - - - _ 5 3 5 - - - - - - - - - - __________ - - - - - ______ - - - - - - - - City: S 0 M E R S E T - - - - _ _ _ _ - - - - - - - - - - _ _ _ _ _ _ _ _ _ _ - - - - - _ _ _ _ _ _ State: C O Zip Code: 8 1 4 3 4 - _ _ _ _ _ _ _ _ _ _' _ _ _ _ Brief Description of Revision: R E V I S E _ R E C L A M A T I O N ___ D A - - T E S - - - - H U B BAR D C R - - - - - - - - - - E E K & - - - - - P O W E R L I N E_ F A C I L I T I E S_ Puhlic Notice Attached: Yes _ No XX (Required for PR's mu! TR's) Bond Increase: Yes _ No xx Federal xx Non-Federal _ Mine Proposed Change in: Disturbed Area (+/-) _ _ 0.0 Acres Affected Area (+/-) _ _ 0.0 Acres Permit Area (+/-) _ _ 0.0 Acres Federal Lattd (+/-) _ _ 0.0 Acres State Land (+/-) _ _ 0.0 Acres Private Land (+/-) _ _ 0.0 Acres