REV11481

• Permit No: C1980007
• IBM Index Class Name: Revision
• Doc Date: 9/2/1993
• Doc Name: APPLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMATION PERMIT
• Type & Sequence: MR100
• Media Type: D
• Archive: No

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MINED LAND RECLAMATION DIVISION
Department of Natural Resources
1313 Sherman SI., Room 275
Denver. CO 60203
303 666-3567
FA X: 303 632-8106
STATE OF COLOR-ADU
MR 100
APPLICATION FORM FOR A REYISION
TO A COAL MINING AND RECLAMATION PERMIT
OF ~Dlp
ti~ 9,,
Ne ~ O
' rB76 ~
Roy Roma.
Goranar
Fred R. Barra.
DlNaian Dirrtor
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(36) and permit revisions, as defined in Rule 1.04(90). All
revisions are to address the requirements of Rule 2.08.4. Three (3) copies of
your revision Including maps must be submitted in order far it to be complete.
All revisions are to be formatted so they can be inserted into the permit to
replace the revised sections, maps, tables and/or figures. Explain in the
revision what section is being revised. The revision date should be printed
in the lower right corner of the revision pages, if necessary, the Table of
Contents should also be revised. When the final version of the revision 1s
approved, 7 copies must be sent to OSM in Denver for Federal mines and for
non-Federal mines 1 copy oust be sent to OSM at 625 Silver Avenue, SW, Suite
310, Albuquerque, New Mexico 87102. The revision may not proceed until OSM
has been provided copies. Copies should be sent certified mail.
Permit No.: C- 8 0 - 0 0 7_
Date: 0 8/ 3 0/ 9 3
Permlttee
moorrrr~ cow ~orrP,~nc - - - - - - -
~FCEIVEC
SEP 2 1993
Street:
P.0_ Box 591 - - - - - - - - -Dr~'m~o,t of :rlner,;,:.
n u,.c.~bY
City: Scanerset--_. _. _.--------_. ,.-.-
State: 00 - Zip Code: g 1 4 3 4 - - ~ ~y 1 -
Mine Name: WEST ELK MINE
- - - - - - - - - - - - - - - - - - - -
Brief Description of Revision: Tet~orary construction drainacLe f~ - - - -
Phase III Coal Sto~gg„ p~lec,~ - - - ` -

Public Notice
Attached --
-Yes No -----
x (Required -----
for PR's and -'--'-
TR's)
Band Increase: Yes No ~_ Federal x Non-Federal Mine
Proposed Change 1n:
Disturbed Area (+/.-) - - Q.~ Acres
Permit Area (+/-) _ _ 0 . 0 Acres
State Land (+/-) - - 4 ,Acres
Affected Area (+/-) - - p.s Acres
Federal Land (+/-) _ _ 0 Acres
Private Land (+/-) ` - ~ Acres
6185E (10/90)