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- iii iiiiiiiiiiiu iii <br />999 <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Depanrnent of Natural Resources ~ ~,s~:°~ <br />~. <br />1)1 J Sherman St., Room 215 - . ~ ~' '~~ <br />Denver, CO B0I0J •• r`:~~ <br />Phone: 13071 BG6-351,7 • re~b • <br />FA%: (3031 812-8106 <br />APPLICATION FORM FORA REVISION R^.R^^.,•r <br />TO A COAL MINING AND RECLAMATION PERMIT ~''°"^°' <br />. 64i haelP lunti <br />Drviaon Ui~ec wr <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(136) 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, the Federal operation is responsible for providing one copy to each <br />of the agencies noted on the Federal Agencies Mailing List. For non-Federal <br />mines, the operation is responsible for providing one copy to OSM in <br />Albuquerque (625 Silver Avenue, SW, Suite 310, New Mexico 87102). The <br />revision may not proceed until OSM has been provided copies. Copies should be <br />sent Certified mail. <br />Permit No.: C- 8 1- 0 2 8 <br />Date: ~ Z/ 1 ~/ Z4- <br />Permittee: C 0 O R ..S - E N E R G Y- C 0 ern Cl\!r r] <br />street: P o B 0 x _ 4 6 ~ - - - - - - FEIi 28 1994 <br />City: G 0 L D E N <br />- - - - - - - - - - - - - - - - <br />State: C 0 Zip Code: 8 0 4 0 _2 -~ 4 6 7 <br />Mine Name: K E E N E S B L' R G ti I N E <br />- - - - - - - - - - - - - - - - - - - - <br />Brief Description of Revision: V A R I A N ~ ~ - ~ ~ - - - - _ <br />C O N T E M P ~81~~0_IL~- <br />R E C L A M A 11~~----- <br />Public Notice Attached - Yes No X (Required for PR's and TR's) <br />Bond Increase: Yes No X Federal Non-Federal X Mine <br />Proposed Change in: <br />Disturbed Area (+/-> - 0 ` - Acres Affected Area (+/-) _ - 0.- Acres <br />Permit Area (+/-) _ 0 _ _ Acres Federal Land (+/-) _0 Acres <br />State Land (+/-) _ 0 Acres Private Land (+/-) 0 Acres <br />6185E (01/93) <br />