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D1VISiON OF MINERALS AND GEOLOGY Department of Natural Resources I? I ~ Sherman Sheet, Room 315 Denver, Colorado 80203 Phone: (30 3) Sfi6-_ 567 Fas: (303) 532-810(, ~tFC:EIVED JUL 15 1997 APPLICATION FORM FOR A REVISION Division of ~mlrterals d Geology TO A COAL MINING AND RECLAMATION PERMIT This form must he completed and submitted with all requests for minor revisions, as defined in Rule 1.04(73), technical revisions, as defined in Rule 1.04(136), and permit revisions, as defined in Rule 1.04(90). All revisions are to address the requirements of Rule 2.08.4. Three (3) copies of the revision, including maps, must be submitted in order for it to be complete. All revisions are to be formatted so they can be inserted into the permit to replace the revised sections, maps, tables andhir tigures, with a revised table of contents, if necessary. The revision submittal date should be printed in the lower right corner of each revision page. A cover letter to the revision should explain the nature of the revision and reference the specific permit sectiats being revised. for federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing list at the same time die application is submitted to the Division, and proof of distribution must be submitted to the Division along with the application. Copies of revision pages modified during the review process must be dish ibuted in the same manner, along with proof of distribution. Proof of distribution must be submitted prior to implementation of the revision. For non-federal mines, a copy of the application for which the Division has issued a proposed approval decision must be submitted to the OSM Western Regional Coordinating Center (1999 Broadway Blvd., Suite 3320, Denver, CO 80202-5733), and proof of submittal to OSM must be submitted to the Division prior to implementation of [he revision. Permit No.: C-81-044 Date: 07/09/97 Permittee: CYPRUS EMPIRE CORPORATION Street 1303 COUNTY ROAD # 107, P.O. BOX 68 C'ih': CRAIG State: COLORADO Zip Code: 51625 Brief Description of Revision: OWNERSHIP AND CONTROL UPDATE Public Notice Attached: Yes No X (Required for PRs and TRs) Bond Increase: Yes No X Federal X Non-Federal Mine Proposed Change in: Disturbed Arca (+/-f 0.0 Acres Affected Area (+/-) 0.0 Acres Permit Area (+/-) 0.0 Acres Federal Land (+/-) 0.0 Acres State Land (+;_) 0.0 Acres Private Land (+/-) 0.0 Acres I:\tcmphites\Jmgapp