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III IIIIIIIIIIIII III <br />STATE OF COLOR-ADO <br />MINED LAND RECLAMATION DIVISION <br /> <br />f N <br />D <br />l R JF ~o~ <br />epartment o <br />atura <br />esourCeS ,~~ q <br /><, 'o <br />13t3 Sherman St.. Room 215 ~ ~ ~c <br />•~ <br />~ ^^ <br />Denver. CO 80203 ' <br />~ <br />303 866-3567 ate, <br />FA x: 303 832.8106 <br /> Roy Romer. <br /> Governor <br /> ' Fred R. Banra. <br />APPLICATION FORM FOR A REVISION O+rlsion 0vector <br />TO A COAL MINING ANO 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). All <br />revisions are to address the requirements of Rule 2.08.4. Three (s) 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, 7 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- 8 0- 0 0 5 <br />Date: Q ~/ Q 3/ 9 3 RECEIVED <br />Permittee: ~~~ g ~ fZ Y _ W E S T E R N <br />C O A L C O M P A N Y MAY 0 5 1993 <br />--------------- <br />Street: 1 3 0 0 S O U T H Y A L <br />- - -~iv~sion of Mmetais d Geology <br />- - - - - - - - - - - - - - - <br />City: F A A G S T A F F--_-----__,- <br />State: A Z Zip Code: 8 6 0 0 1- ____ <br />Mine Name: S E N E C A I I - <br />- - - - - - - - - - - - - - - - - - - - <br />Brief Description of Revision: R E V I S E- A F F E C T E D- <br />L A N D S B O U N D A R Y & <br />- - - - - - - - - - - - - - - - <br />A D D S O I L S T O C K P I L E <br />- - - - - - - - - - - - - - - - <br />Public Notice Attached -Yes ~ No x (Required for PR's and TR's) <br />Bond Increase: Yes No X Federal X Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) - _ _ - Acres Affected Area C+,~-) - 1 7 .5 Acres <br />Permit Area (+/-) _ _ Acres Federal Land (+/-) _ _ Acres <br />State Land (+/-) Acres Private Land (+/_) - Acres <br />6185E (10/90) <br />