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STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />1313 Sherman Sf., Room 215 <br />Denver, CO 80203 <br />303 866.3567 <br />FA%: 303 832.8106 <br />OF' pip <br />~~' - ~~4> <br />~~`~-'~. <br />. ~yy <br />~lNTe <br />Roy Romer, <br />Gowmer <br />' Fred R. Banta. <br />APPLICATION FORM FOR A REVISION Div~s~on Dneuor <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(731. 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 />All 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 fn-st 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 - ~ 1 - .Q ~ g <br />Date: / / <br />Permlttee: C~ p_, r u s E m~ i r e _C o r <br />F~~E~~.I~'~C~ <br />Street: P O B o x 6 8 <br />--------`------ OCTd71991 <br />City: C r a ; J.____^_____ Mined land <br />State• C 0 Zip Code• 8 1 6 2 6 - _ _ _ declamation Division <br />Mine Name: C y~ r u s E m~ i r e C_o r p_ E a g l e M i n e s_ <br />Brief Description of Revision: C u l v e r t & d i t c h d e s i g n s <br />6~onstructi'on <br />Public Notice Attached -Yes x No _ (Required for PR's and TR's) <br />Bond Increase: Yes No x Federal Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ ~,_ Acres <br />Permit Area (+/-) _ _ ~,_ Acres <br />State Land (+/-) _ _ ~ Acres <br />Affected Area (+/=) _ ~ 0 ,_ Acres <br />Federal Land (+/-) _ ~ 0 <br />Private Land (+/-) _ , 0 <br />Acres <br />Acres <br />6i85F (10/90) <br />