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STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resourtti <br />t3t3 Sherman St.. Room 2t5 <br />Denver. CO 80203 <br />]03 866.3567 <br />F~x:303 832•Bt06 <br />~c] 18 <br />. QI (~] R . <br />'qi~' <br />Iby ROnrt <br />Goerm <br />FreE 0. Bann. <br />APPLICATION FORM FORA REVISION ~^~ <br />TO A COAL MI NI HG AND RECLAMATION PERMIT <br />This form must be completed and submitted with all requests for minor <br />revisions, as defined in Rule 1.04(13), 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 1t to be caaptete. <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 1n the <br />revision what section is Deing 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 at so be revised. When the final version of the revision 1s <br />approved, 7 copies mist 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, 511. Suite <br />310, Albuquerque, New Mexico 81102. The revision may not proceed until OSM <br />has been provided copies. Copies should be sent certified mail. <br />Permit No.: C- 8 1- 0 3 8 <br />Date: i 2/ o ff/ 9 3 <br />- - !~ ~' <br />Permlttee: CYPRUS ORCHARD VALLEY COAL CORPORATION <br />----------'C`CC81993 <br />Street: P.0_ BOX 1299 <br />-----------x,-:- <br />1720 4010 Road <br />City= PAONIA ----------------- <br />State: CO Zip Code: 81428 __ - _ _ <br />Mine Name: D,~C„~,gev ~«~Lr <br />Brief Description of Revision: ~o.h,/ ~ G H~•-B/o ~l~~.i~-o~% <br />y ~--- ~ - <br /> <br />Public Notice <br />Attached <br />-Yes - ----------- <br />No ~ (Required for PR's and ---- <br />TR's) <br />Bond Increase: Yes No ~( Federal X Non-Federal Mine <br /> <br />Proposed Change 1n: <br />Disturbed Area (+/-) - - p. v Acres Affected Area (+/-) - - o . D Acres <br />Permit Area (+/-) G , p Acres Federal Land (+/-) o Acres <br />State Land <br />(+/_) - - Q Acres Private Land (+/_) - - O Acres <br />6185E (10/90) <br />