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<br />iii i~il~ii«iiii r~i <br />STATE OF COLORADO,. <br />MINED LAND RECLAMATION DIVISION . <br />Ospanm~nt of Wtutal Rasourpa <br />e <br />1717 SMrm~n SL. Room 21 S ~ <br />Otmrv. CO 60203 <br />707 666-3567 ~. ~ T~ . <br />Fix: 707 832.6106 <br />Rot llonr. <br />Gw~rtv <br />Fn0 0. ~~ <br />.APPLICATION FORM FOR A REYISION ~~ <br />TO A COAL NI NING AND RECLAMATION PERMIT <br />This form must be completed and submitted with all requests for minor <br />recisions, as defined in Rule 1.04(73), technical revisions as defined 1n <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 caeplete. <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 1s Deing revised. fie 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 must be sent to OSM 1n Denver for Federal mines and for <br />non-Federal nines 1 copy east be sent to OSN at 625 Silver Avenue, Stil, Suite <br />310, Albuquerque, New Mexico 87102. The revision may not proceed until OSM <br />has been provided copies. Copies should be sent certified nail. <br />Permit No.: C - ~~ - p5~ - <br />Date: ~~/ ~S-/ 93- <br />Permittee: EN15>3G~LF31gLS ~LiauN+~ CAA~,pN,3G, - - - - <br />------------- RECEIVED <br />Street: E,~ gfl~gg - - - - - - - <br />- ~t1N' 1 1993 <br />--------------- <br />City: ~413~,DICE_ - - - - - - - D;vS~WLit~;ur:r <br />State: ~~ Zip Code: g~~- - - - - ` ~aeon~y- - <br />Mine Nave: ~ATAbLCBEEiC ILIN.S - - - - - - - - - - - - - <br />Brief Description of Revision: ~PCigQ Bev3..SS.Ons/ddtl].t~.Dac ~~p;,aigag_. <br />-S~„ruy~ty~e~ ~(OY C_93-52) - - ~ - - <br />Public Notice Attached -Yes _~ No _ (Required for PR's and TR's) <br />Bond Increase: Tes i No - Federal Non-Federal Mine <br />~' <br />Proposed Change 1n: <br />Disturbed Area (+/-) - - ~.~ Acres Affected Area (+/-) - - ~~ Acres <br />Permit Area (+/-) - -~y.0 Acres Federel Land (+/_) - - p -p Acres <br />State Land (+/-) 0.0 Acres Private Land (+/_) 0 0 Acres <br />