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<br /> <br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />• OeOanment of NaWral Resources <br />i]~J Sherman 51.. Room 215 <br />Denver. CO B020J <br />707 B66-J56i <br />FA %: 70J BJ2-B i06 <br />o~ ~o~ <br />4~"~l'~\7cc <br />F~r4 C <br />•. ~.% <br />n~^~~'-orb .4:,~ <br />re i~ <br />MAY 3 0 1Qq~ <br />FreO R. Banu. <br />APPLICATION FORM FOR A REYIS~~sionoii~n~neraissu~4~~1'D""'°r <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(13), 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 to 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 provideddcopies. Copies should be sent certified mail. <br />Permit No.: C- o ~- 0{ I <br />Date: Q-l--!gs <br />Permittee: 5 ~ N L11N~ MININ(o CoR.P <br />- - - - - - - - - - - - - - - <br />Street: ~O 80X o~gq <br />City: ~T~2R.~{S --------- ----- <br />State: K Y Zip Code: ~ ~.~..t5s. - - O a 8~ - <br />MineName: ~~E~ #-~-------- ______ <br />Brief Description of Revision: ('Q,P.QEG7 /Ltq~ 7~tT (n.t^~'~T><'niC'K3 <br />FA2 SATE St~iPFiSY'S ~~.A,Q;XGY~ - - - <br /> <br />Public Notice Attached - - - - - - - - - - - - <br />-Yes No XI (Required for PR's and - <br />TR' - - - <br />s) <br />Bond Increase: Yes No ~ Federal ~ Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) - - Q ,- Acres Affected Area (+/_) D Acres <br />. <br />Permit Area (+/-) _ - Q _ Acres - - <br />Federal Land (+/-) - - ~ - <br />Acres <br />State Land (+/-) - - Q Acres Private Land (+/_) - - ~ Acres <br />6185E (10/90) <br />