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STATE OF COLORA-DO <br />MINED LAND RECLAMATION DIVISION ~ of ~o~ <br />Department of Natural Resources ~~'~~°,s <br />1313 Sherman SI.. Room 215 <br />Denver. CO 60203 ~ n ,,,, <br /> <br />~ <br />303 666-3567 ••ta ~B • <br />Fa x: 303 832-8106 <br /> Roy PMrr. <br /> Gwamor <br /> FreE R. Barra <br />APPLICATION FORM FOR A REVISION Division Director <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 must be sent to OSM in Denver for Federal mines and for <br />non-Federal mines 1 copy must 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- 8 1- 0 1 8 <br />Date: ~ g/ 1 ~/ 9 1 <br />~ <br />S T E R N F <br />Permittee: W E U E L S- U T A H, <br />~j1 <br />_ <br />I N C ____ __ ____ A~~~+ <br />- <br />- <br />Street: 4 0 5 U r b a n S t. <br />q(/G <br />`0 <br />~ ~ i t e - 3 0 5 _ <br />_ _ <br />_ <br />i h <br />,_, - - - ,_ _, A y1i ~9q1 <br />~aa <br />e0/ <br />City: L a k e w o o d ~~, <br />_ <br />a,~ <br />~' <br />State: C O Zip Code: g 0 2 2 8 ~/ . <br />---- ~~~ so <br /> on <br />Mine Name: D e s e r a d o- M i n e-_,----- <br />Brief Description of Revision: A D D- N E W- L E A S E-& - <br /> A P <br />-- P R O V E M I N E P L A N <br />----------------- <br /> <br />Public Notice Attached - Yes X - - <br />No - - - - - - - - - - - - - - <br />_ (Required for PR's and TR's) <br />Bond Increase: Yes No X Federal Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ _, 0 Acres Affected Area (+/-)1 0 0 0 ,0 Acres <br />Permit Area (+/-)1 3 6 0. 0 Acres Federal Land (+/-)1 3 6 0. 0 Acres <br />State Land (+/-) 0 Acres Private Land (+/-) 0 Acres <br />6785E (10/901 <br />