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~ ~.~. <br />~~: COLORADO D~VISION OF MINERALS AND GEOLOGY <br />1313 Sherman Str ,Room 215, Denver, Colorado 80203, (303) 866-3567 <br />,. <br />APPLlCAT10N FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This form must be completed and submitted with ail requests for minor revisions, as defined in Rule 1.04(73), <br />technical revisions, as defined in 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 the revision, including maps, <br />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 replace the revised sections, maps, <br />_ tables and/or figures, with a revised table of contents, if necessary. The revision submittal date should be <br />printed in the lower right comer of each revision page. A cover letter to the revision should explain the nature <br />of the revision and reference the specific permit sections being revised. ' <br />For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing <br />list (except OSM) at the same time the application is submitted to the Division, and proof of distribution must <br />be submitted to the Division along with the application. Copies of revision pages modified during the review <br />process must be distributed in the same manner, along with proof of distribution. Proof of distribution must <br />be submitted prior to implementation of the revision. <br />Permit No.: C - 81 - 041 Date: >> / 23 / 98 <br />Permittee: POWDERHORN COAL COh1PANY <br />Street: <br />City: <br />PA1154D E, <br />State: ~~ Zip Code: 8t5Z6 - <br />Brief Description of Revision: Relocation of Town of Palisade waterline. <br />Public Notice Attached: Yes _ No X (Required for PRs and TRsI <br />Bond Increase: Yes No Federal X Non-Federal Mlne <br />Proposed Change in: <br />Disturbed Area (+/-) - _ 0 . 0 Acres <br />Permit Area (+/-) _ _ ~ . ~ Acres <br />State Land (+/-) 0 o Acres <br />Affected Area (+/-) _ _ Q . Q Acres <br />Federal Land 1+/-) _ _ o • Q Acres <br />Private Land (+/-) _ _ 0 o Acres <br />