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<br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION ~ <br />Department of Natural Resources ,~'.~~' <br />/~a <br />1373 Sherman St., Raom 2t5 ~~ <br />Denver. CO 60203 ` <br />30J 666.3567 ~ •ieTa. <br />FAx:303 832-8t06 ' <br />Roy Ramr. <br />Gowmor <br />' FraE R. Banta. <br />APPLICATION FORM FOR A REYISION a~~~,D~r~or <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). A11 <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. Ylhen the final version of the revision is <br />approved, 1 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- g l- 0 3 8 <br />Date: _lo / z4 _/ 9I _ <br />Permittee: CYPRUS ORCHARD VALLEY COAL CORPORATION _ ~~La - , L t <br />Street: P. 0_ BOX 1299 _ _ _ _ - _ _ '_ <br />1720 4010 Road - - - OCT 2 g 1991 <br />City: PAONIA - MinedLanci _ <br />State: CO- Zip Code 81428 - - - - - ~~~o~tvtSlon <br />Mine Name: CYPRUS ORCHARD VALLEY t4INE <br />Brief Description of Revision: SUBSIDENCE h10NIT0RING REDUCTION - ~ - - - <br />Public Notice Attached - Yes x No _ (Required for PR's and TR's) <br />Bond Increase: Yes ~ No ~_ Federal X Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) - - ~.~ Acres <br />Permit Area (+/-) - - ~.~ Acres <br />State Land (+/-) o Acres <br />Affected Area (+/-) ` - 4,4. Acres <br />Federal Land (+/_) , - ~ Acres <br />Private Land (+/-) ~ Acres <br />6185E (10/90) <br />