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.~- . STATE OF COLORADO DIVISION OF MINERALS AND GEOLOGY Department of Natural Resources t i l l Shemun St., Room 21 S Denver, Colorado 80203 Phone: 13071844.3547 FAX: UD31 832-81 04 APPLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMATION PERMIT ~~ I~ DEPAILTMEIYI' U NATUR/':: RESOURC:1=. RoY Ranh co.<rna tarnM s. E«hhead Eattulive Din<ra Michxl 9. Lmg D~~ision D~rcclo, All revisions are to be formatted so they can be inserted into the permit to replace the revised sections, maps, tables and/or figures, with a revised table of contents, if necessary. The revision submittal date should be printed in the lowe[ 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. This form must be completed and submitted with all requests for minor revisions, as defined in Rule 1.04(73), technical revisions, as defined in Rule 1.04(361, and permit revisions, as defined in Rule 1.04(901. All revisions are to address the requirements of Rule 2.08.4. Three (3) copies of the revision, including maps, must be submitted in order for it to be complete. 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 muss 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 to implementation of the revision. Permit No.: C- 8 1- 0 2 2 Datc: 0 3/ 1 6/ 9 5 Pcrntittce: S O M E R S E T_ M I N i N G_ C O M P A N Y____ --------------------g~€lpF~-_.-~ Street: P 0__ B O X 5 3 5 - - --------~2~199,~__-,, City: S 0 M E R S E T _ _ _ _ _ _ _ - _ ~l ~on ~/M~nera/y-~ Geol - - - Statc: C 0 ZtpCode: 8 1 4 3 4- ___________~9Y_ Brief Dcscriptiott of Revision: C 0 N S T R U C T_ R O C K________ T U NNE L F R O M C- S E A M T O - - - - - - - - - - - - - - - - - - - - - S U R F A C E_ F O R_ A I R_ I N T A K E Public Notice Attached: Yes xX No _ (Required jor PR's ntul TR's) Bond Iltct'casc: Yes xx No rederal xx Nott-Federal Mine Proposed Change in: Dislnrbed Arca (+/-) _ _ 0.0 Acres Affected Arca (+/-) _ _ 0.0 Acres Pcrntit Arca (+/-) _ _ 0.0 Acres Tcderal Land (+/-) _ _ 0.0 Acres State Land (+/-) _ _ 0.0 Acres Private Lattd (+/-) _ _ 0.0 Acres