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III IIIIIIIIIIIII III <br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Reaourcea <br />t3t3 Sherman St., Room 2t6 <br />Denver. CO 80203 <br />303 666-3567 <br />Fax: 307 632-8106 <br />APPLICATION FORM FOR A REVISION <br />TO A ODAL MINING AND R>rrAMn'-'TON PERMIT <br />of ~o~ <br />~, a <br />S 'O <br />~~~/Q~l <br />. G Cam"') >f . <br />. i.»e~' <br />/976 <br />Rpy Rome. <br />Gonma <br />Frail R. Barra. <br />Oniaipn DirWOr <br />?his form must be cong~leted and submitted with all requests for minor <br />revisions, as defined in Rule 1.04(73), technical revisions as defined in Rile <br />1.04(36) and permit revisions, as defined in Rule 1.04(90). All revisions are <br />to address the regltireltertts of Rule 2.08.4. Three (3) copies of your revision <br />including maps must be sul>cnitted in order for it to be aetq~lete. <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. ripe revision date should be printed <br />in the lower right corner of the revision pages. If r>ecessary, the Table of <br />Contents should also be revised. When the final version fo the revision is <br />approved, 7 copies must be sent to OSM at 625 Silver Avenue, SW, Suite 310, <br />A]buquenque, New mexico 87102. the revision may not proceed until OSM has <br />been provided copies. Copies should be sent certified mail. <br />Permit No.: C- 8 4- 0 6 2 <br />Date: 1 ~ 3 ~ 9 2 <br />Permittee: C O L O R A D O- Y A M P A_ R E C ~'' ~s ~' ` 1 <br />C O A L C O M P A N Y___ <br />Street: 2 9 5 7 9_ R O U T T____ ~pN 0 41993 <br />C O U N T Y- R O A D- 2 7_ i„ , .,ulv OF <br />City: O A K _ C R E E K _ _ _ _ _ _ MINERALa & GEOLOGY <br />State: C O Zip Code: 8 0 4 6 7- ____ <br />Mine Name: M I N E 3 <br />Brief Description of Revision: M I D T E R M- R E S P O N S E <br />M R 9 2- 1 7 <br />- - - - - - - - - - - - - - - - <br />Public Notice Attached -Yes _ No X (Required for PR's and TR's) <br />Bond Increase: Yes X No Federal Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ N.A Acres Affected Area (+/-) _ _ N. A Acres <br />Permit Area (+/-) _ _ N.A Acres Federal Land (+/-) _ N A Acres <br />State Land (+/-) _ N A Acres Private Land (+/-) _ N A Acres <br />