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FLG. 2.1999 11~20RM TWENTYMILE COFL EN4IPGNMENTRL NG.020 P.3 <br />STATE OF COLORAL <br />DIVISION OF MINf3tAL5 AND GEOLOGY <br />Depammmr d Nawral Raourca <br />11115i+erman SL. Roam 215 <br />Derru~r, Colorado 8020] <br />fRn+ne: ~1D31866.7567 <br />FAx:ilO]1812$106 pppL1CAT]ON FORM FOR A REVISION <br />TO A COAL MINING ANO RECLAMATION PERMIT <br />This form must be completed and submitted with all requests for minor revisions, as defined in <br />Rula 1.04{731, technilai revisions, as defined in Rule 1.0411381, and permit revisions. as defined <br />to Rule 1.041801. All revisions are to addr' as the requirements of Rule 2.08.4. Three (31 copies <br />of the revision, including maps, must he ~bmittad in order for it to be complete. <br />Ron Rener <br />Ca~env <br />lame s. u~dJiead <br />Faeo,u~e Direaor <br />MIcIi~M 8. LarR <br />DivRian Oi.ector <br />All revisions eta m be formatted so they i:an be inserted Into the permit t0 replace the revised <br />sections, maps, tables andlor figures, with a revised table of contents, if necessary. The revision submittal <br />date should be prirtted in the lower right c~rner of earls revision page. A cover latter to the revision shculd <br />explain the nature of the revision and rate enee the apeciftc pamtit sections being revised, <br />For federal mines, a copy of the revision t <br />list et the same dme the application is soh <br />to the Division along with the application. <br />be distributed In the same manner, along <br />prior to implementation of the revision. <br />Division has issued a proposed approv <br />Coordlnadng Canter (1999 Broadway Blv <br />to OSM must ba submitted to the Divisio <br />tlleation moat. be submitted ro all ageneiea on the federal marling <br />fitted to the Division, and proof of d'isaihution must ha submitted <br />opiea of revision pages modiftad during the review process must <br />th proof of distribution. Proot of distribution muss be submitted <br />or nonfederal mines. a copy of the application for which the <br />decision muss be submitted to the OSM Western Regional <br />Suite 3320, Denver, CO 80202.67331, and proof of submittal <br />prior to implemenation of the revision. <br />Permit No.: C - ~ Z, . ,~ 3, ~ ', Dato: Q ~ ! 0 2 ~ I 9 ~ <br />Street: ~ y._ ~ ~, ,.5_ - ~} ~: 1L L T- ~._O_Ll ~l ~ Y <br />..>iQ~>Z._..~~5 i-------- <br />city: ~ ~ x. - ...G ~. ~ ~ IC_-- - - - - - - <br />State: ~ Q. 7.fp Code: g ~ ~ ~ Z_ - - - - ____ <br />Brief Description of Revision: M 59-1 fi5 Extension of (lock Room to <br />Publle Notice Attached: Yes ,_ Nom (}required for PRs and TRs) <br />Band Increase: Yes ^ No X <br />Proposed Change in: <br />Disturbed Area (+l-) - _ ~. <br />Permit Area (+l-) _ - _4 <br />Federel~ Non-Federal _ Mlne <br />~ Acres AHeeted Area (+l•) - - ~ fig, Acres <br />~ Acres Federel Land (+l-) - - 0 . ~ Acres <br />State Land {+!-) ~ - 4 0 Acres Private Land (+!_) _ - 0 0 Acres <br />