REV14266

• Permit No: C1980003
• IBM Index Class Name: Revision
• Doc Date: 11/14/1995
• Doc Name: Letter & Application and Public Notice
• From: Terra Matrix Inc
• To: DMG
• Type & Sequence: TR62
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION Of MINERALS AND GEOLOGY
Depanment of Natural Resources
i 373 Sherman SL, Room 215 I~,.r~a~
Denver, Colorado 80203 Il ~~ i~
Phone: 13031 ebb-3567
FAX: [phone]-A106 APPLICATION FORM FOR A REVISION
TO A COAL MINING AND RECLAMATION PERMIT DEPARTMENT OF
NATURAL
RESOURCE
This form must be completed and submitted with all requests for minor revisions, as defined in Roy goner
Rule 1.04(73), technical revisions, as defined in Rule 1.04(1361, and permit revisions, as defined cO1p"1Of
in Rule 1.04(901• All revisions are to address the requirements of Rule 2.08.4. Three (31 copies ExeMSve Dihxeior
of the revision, including maps, must be submitted in order for it to be complete.
Michael B. Long
Division Director
All revisions are to be formatted so they can be inserted into the permit to replace the revised
sections, maps, tables and/or figures, with a revised table of contents, if necessary. The revision submittal
date should be printed in the lower right corner of each revision page. A cover letter to the revision should
explain the nature of the revision and reference the specific permit sections being revised.
For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing
list at the same time the application is submitted to the Division, and proof of distribution must be submitted
to the Division along with the application. Copies of revision pages modified during the review process must
be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted
prior to implementation of the revision. for non-federal mines, a copy of the application for which the
Division has issued a proposed approval decision must be submitted to the OSM Western Regional
Coordinating Center (1999 Broadway Blvd., Suite 3320, Denver, CO 80202-5733), and proof of submittal
to OSM must be submitted to the Division prior to implementation of the revision.
Permit No.: C 80 003 Date: 11 / 10 / 95
Permittee: ~ G_CQEx,~.O>v1PA>Y5[ - - - - - - - - -
- - - - - - - - - - - - - - -
Street: ONE TOWN CENTER ROAD
- - - - - - - - - - - - - - -
C i t y : ~ O C g R gT Q LL - - - - - - - - - - -
State: ~,- Zip Code: 33486 - - - - - - -
Brief Description of Revision: REVISED WOODY PLANY DENSITY STANDARD -
Public Notice Attached: Yes ~ No - /Required for PRs and TRs/
Bond Increase: Yes No X Federal Non-Federal X Mine
Proposed Change in:
Disturbed Area (+/-) - - ~ . 4_ Acres
Permit Area (+/-) - - 0 . ~ Acres
State Land (+/-) - - 0 ~ Acres
Affected Area (+/-) - - ~ . ~ Acres
Federal Land (+/-) - - Q . ~ Acres
Private Land (+/-) - - 0 . 0 Acres
m:\coal\share\form s\8865