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ST.~TE OF COLORADO <br />MINED LAND RECLAMATION DIVISION ;.~a <br />Oeoartment at tvaturai Aesources <br />: 3:3 Sherman St <br />Room 215 ti~''~~~., <br />~$ <br />.. <br />Oenver. CO 80203 <br />303 366 <br />3 <br />7 ~`j~J" .y~~ <br />. <br />:6 <br />Fax: 303 832.3106 +R76' <br /> Roy RomRr. <br />Gaworor <br /> Frb A. 87nR <br />APPLICATION FORM FOR A RE'{iSiON o^^~+o~ <br />TO A COAL MINING AND RE~LAMATiON 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 (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, 7 copies must be sent to OSM in Denver for Federal mines and for <br />non-Federal mines 1 copy mist 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 1- 0 18 <br />Date: ~ 2/ 1 4/ 9 3 <br />Permittee: W ESTE R N F U E L 5- U T A H, <br /> I N C _ _ _ _ _ _ _ _ _ _ _ <br />Street: 4 0 5 U r b a n S t. _ <br /> <br /> <br />City: L a k e w o o d __ ___ _______ <br />State: C 0 Zip Code: 8 0 2 2 3-_ ___ <br />Mine Name: D p s e r a d o _ M i n e __ __ _ <br />Brief Descri ption of Revision: ~a A T F R_ L I N F. _ F R O M <br /> S D P. 5 _ T O_ S D H 3 P O N D <br />Public Notic e At',zetied -Yes No ~ (Required for PR's and TR's) <br />Band Increas e: Yes x Na Federal x Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/_) _ _ 0 . 0 Acres <br />Permit Area (+/-) _ _ o 0 Acr?s <br />State Land (+/-) p Acres <br />Affected Area (+/_) D D Acres <br />Federal Land (+/_) _ p Acres <br />?rivate Land (+/_) 0 Acres <br />