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STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />7313 Sherman St.. Room 275 <br />Denver. CO 60203 <br />303 666-3567 <br />Fax: 303 632-8706 <br />OF COtO <br />v: a <br />~c ~~~~C <br />N <br />•~• <br />~~a <br />Roy Romer, <br />Gwemor <br />' Freo q. eama. <br />APPLICATION FORM FORA REVISION o~r'sian ortenor <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(73), 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 mist be sent to OSh1-in Denver for Federal mines and for <br />non-Federal mines 1 copy rtust 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- g 2- 0 5 7 <br />Date: Q g/ 1 2/ 9 2 _ <br />Permittee: p~ A B O D Y- C O A L- C ~ECE~vE~.) <br />Street: 1 3 0 0 - S. - V A L E - - - _, pUG 181992 <br />pi~~.,._ .,,. <br />City: ~..L. A ~. S T A F F - - - - _ -MIPIEF~S ~ Citv~_~" <br />State: A Z Zip Code: 8 6 0 0 1-____ <br />Mine Name: S E N E C A I I W <br />- - - - - - - - - - - - - - - - - - - - <br />Brief Description of Revision: A 5- B U I L T <br />- - - - - - - - - - - - - - - - <br />D R A W I N G S -------- <br />P O N D 0 0 5 <br />- - - - - - - - - - - - - - - - <br />Public Notice Attached -Yes X No _ (Required for PR's and TR's) <br />Bond Increase: Yes No X Federal X Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/_) - - ~,~ Acres <br />Permit Area (+/-) __ _ 0 . 0 Acres <br />State Lar7d (+/_) 0 Acres <br />Affected Area (+/_) - - ~,~ Acres <br />Federal Land (+/_) _ 0 Acres <br />Private Land (+/-) 0 Acres <br />o135r !7)/001 <br />