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STATE OF <br />IZADO <br />DIVISION OF MINERALS AND GEOLOGY ~~ r ~ ~ `'" r <br />Department of Natural Resources <br />I l l l Sherman SI., Room 715 AUG 2 91994 <br />Denver, Colorado 80703 <br />Phone: 17031 866-7 567 <br />FA%: p031832.810h APPLICATION FORM FOR A REV~y,~~l, o, ;,~nnera,~ a uao:ogy <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This form must be completed and submitted with all requests for minor revisions, as defined in <br />Rule 1.04(731, technical revisions, as defined in Rule 1.04(361, and permit revisions, as defined <br />in Rule 1.04(901• All revisions are to address the requirements of Rule 2.08.4. Three (3) copies <br />of the revision, including maps, must be submitted in order for it to be complete. <br />z <br />DEPARTMEf~I'I' Of <br />NATURAI <br />RESOURCE. - <br />Roy Romer <br />Governor <br />lames S. Lochhead <br />E[eCUlis4 Dirttlor <br />Michael B. long <br />Division Direrrnr <br />All revisions are to be formatted so they can be inserted into the permit to replace the revised <br />sections, maps, tables and/or figures, with a revised table of contents, if necessary. The revision <br />submittal date should be printed in the lower right corner of each revision page. A cover letter to the <br />revision should explain the nature of the revision and reference the specific permit sections being revised. <br />For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing <br />list at the same time the application is submitted to the Division, and proof of distribution must be submitted <br />to the Division along with the application. Copies of revision pages modified during the review process must <br />be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted <br />prior to implementation of the revision. For non-federal mines, a copy of the application for which the <br />Division has issued a proposed approval decision must be submitted to the OSM Albuquerque Field Office <br />(AFOI, and proof of submittal to AFO must be submitted to the Division prior to implementation of the <br />revision. <br />Permit No.: C - 8 1 - 0 3 3 Date: 0 8 /2 6/ 9 4 <br />Perntittee: B E A R _ C O A L_ C O M PAN Y_ I N C______ <br /> <br />Street: - <br />P <br />- - - - <br />O <br />- - - - - - - <br />B O X <br />- - - - - - - - - - - - - - - - - - - - - - - <br />5 1 8 <br />- - - - - - - - - - - - - - - - - - - - <br />- - - - - - - - - - - - - - - - - - - - - - - - - - - <br />City: S O M E R S E T _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />State: C O Zip Code: 8 1 4 3 4- <br />- - - - - - - - - - - - - - <br />Brief Description of Revision: R E V i S E_ S U B S i D E N C E____ <br />M 0 N I T O R I N G_ P L A N______ <br />Public Notice Attached: Yes XX No _ (Required for PR's and TR's) <br />Bot3d Increase: Yes _ No xx Federal xx Nol3-Federal _ Mine <br />Proposed Change itt: <br />i1 Disturbed Area (+/-) _ _ 0.0 Acres Affected Area (+/-) _ _ 0.0 Acres <br />„Permit Area (+/-) _ _ 0.0 Acres Federal Laltd (+/-) _ _ 0.0 Acres <br />State Lattd (+/-) _ _ 0.0 Acres Private Lattd (+/-) _ _ 0.0 Acres <br />