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• • ~ -~~~ ~ <br />S i ~ 1 E OF COLORADO <br />M1NE~ LAND =~•C:.,4,b1A;1CN D!`JIS;CN -^,' <br />~acar,^enc or uac~rai =esources a~ ~ <br />17 Sherman SL. ?.ccm _75 "" ~`~'~''~~ <br />_ aver ~~ <CCJ7 :, ~'~ ~-/• <br />. ~~. <br />~w Aamx, <br />Gavrar <br />:.ec a. aama. <br />APPL:CATiON ?ORM 'OR .; RE'i:SiON clNmonclra~r <br />TO A COAL ;dINiNG ANO REC;.v~AT:ON ?~Z'diT <br />This fora must be c~moieted and submitted wily a]T reouests for minor <br />revir'ons, as defined in Rule 1.04('3), tecanical revisions as defined in <br />Rule 1.04(36) and permit revisions, as defined in Rule i.0?(°0). Ali <br />revisions are ~c address the requirements of Rule 2.08.4. Three (3) copies of <br />y cur revision including maps must be submitted in order for it to be complete. <br />Ali revisions are to be formatted so whey can be inserted into the permit to <br />replace the revised sectiarts, maps, tables and/or figures. Explain in the <br />revision what se=-tion is being revised. The revision date should be printed <br />in the lower right corner of the revisien pages. If necessary, the Table of <br />Contents should also be revised. 'dhea the final version of the revisien is <br />approved, 7 conies must be sent to OSM in Denver for Federal mines and for <br />Hart-Federal mines 1 copy mist be sent to OS~f at b25 Sil ver Avenue, Srr, Suite <br />310, Albuquerque, New Mexico 87102. The revision may rtot proceed until OaA <br />has been provided copies. Copies should be sent certified mail. <br />Permit No.: C- 8 1 - 0 0 _8 • <br />Ddte: 0 6/ 2 9/ 9 3 <br />Permittee: W E S T E R N F U $ L S - <br />- <br />C O L O R A _D O _ _ <br />_____ <br />St,,•n<t; 2 7 6 4 6 W e s t 5 t h ~{~ C <br />~ <br /> - - ~. ~. - ~. - - <br />l; (1ir ti i <br />~~~~~ <br />' ~UN29199~ <br />~ ~s L~------- ------ <br /> O <br />Zi p CO <br />e ~av ~ <br />2 <br />6 <br />Mine 'ldRfe: N `~ H <br />0 R I Z E~~„treiais ~, Lcu,uyy <br />0 N ~I <br />I <br />3rief Desc~ioti on of Revision: s m a 1 1 a t e a <br /> e x e m p t i o n t o p s o i l <br /> = t _ c k ~ i 1 e - K - _, - - - <br />Pubiic Notice A ttached -Yes No x (Required for PR's and iA's) <br />Bond Increase: Yes ~Yo x 'ederal Nan-Federal x Mirte <br />Proposed Change in: <br />Oist;~rhed Area (~/-) o . o Acres Affected Area (+/-) o 0 Acres <br />Pe:-nit Area (~/-) _ _ <br />_ - ~,Q Acres =ederai Land (+/_) - - Q Acres <br />State Land (~/-) 0 Acres ?rivate Land (+/-) 0 Acres <br />