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<br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Rewurces <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: 1303)866-3567 <br />FAX: 13031832-8106 <br />R~r~iVED <br />JUG ~ 9 f996 <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAA~~ Of MIn~pMp a{ (yp010yy <br />~~ <br />N TURt~L <br />RESOURCES <br />This form must be completed and submitted with all requests for minor revisions, as defined in Ral.ga„Q <br />Rule 1.04173), technical revisions, as defined in Rule 1.0411361, and permit revisions, as defined ~r'~ <br />in Rule 1.04190). All revisions are to address the requirements of Rule 2.08.4. Three 13) copies poe. s. Lachhead <br />of the revision, including maps, must be submitted in order for it to be complete. E"°""` Dlntior <br />Midud B. Long <br />Diririan DIrMu <br />All revisions are to be formatted so they can be inserted into the permit to replace the revised <br />sections, maps, tables and/or figures, with a revised table of contents, if necessary. The revision <br />submittal date should be printed in the lower right comer of each revision page. A cover letter to the <br />revision should explain the nature of the revision and reference the specific permit sections being revised. <br />For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing <br />list at the same time the application is submitted to the Division, and proof of distribution must be submitted <br />to the Division along with the application. Copies of revision papas modified during the review process must <br />be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted <br />prior to implementation of the revision. For non-federal mines, a copy of the application for which the <br />Division has issued a proposed approval decision must be submitted to the OSM Albuquerque Field Office <br />(AFO), and proof of submittal to AFO must be submitted to. the Division prior to implementation of the <br />revision. <br />Permit No.: C-~ Q- 0 0 1 Date: 0 6/ 1 2/ 9 6 <br />Permittee: The Pitts burg & Plidwa~Coa1 Minims Co. <br />Street: P.O. Box 176 <br />- - - - - - - - - - - - - - - <br />City: Oak Creek ____________ <br />State: ~ ~ Zip Code: 80467 _ _ _ _ _ _ _ _ ' <br />Brief Description of Revision: Designate facilities and developed water resources <br />to be retained after mining is completed. <br />Public Notice Attached: Yes x No _ /Required for PRs and TRsI <br />Bond Increase: Yes _ No X Federal x Non-Federal _ Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ 6 ~ Acres <br />Permit Area (+/-) _ _ ~ ~ Acres <br />State Land (+/-) _ _ 0 0 Acres <br />Affected Area (+/-1 _ _ ~ ~ Acres <br />Federal Land (+/-) _ _ ~ ~ Acres <br />Private Land (+/-) _ _ 'J 0 Acres <br />m: \coallsherel forms\888 5 <br />