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l~-~ <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />13t3 Sherman St.. Room 2t5 <br />Denver. CO 80203 <br />303 866.3567 <br />Fnx: 303 832-8t06 <br />STATE OF COLORADO <br />OF' CO <br />w~~*'i~ <br />• r .moo tr. <br />a <br />~/9'16~ <br />Rq Rmwr. <br />Go+~mor <br />' FraE R. Bann. <br />APPLICATION FORM FOR A REVISION Div6~on oire:ODr <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(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 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 provided copies. Copies should be sent certified mail. <br />Permit No.: C- 8 1 - 0 1 8 <br />Date: 0 6/ 2 ~/ 9 7 <br />Permittee: R L U E M 0 <br />~ U N T A I N E N. E R G Y <br />w i . r' ~ <br /> I N C _ _ _ _ _ _ _ _ _ _ _ <br />Street: 4 0 5 U r b a n S t. <br /> S u i t e _ ~ 0 5_„_____ <br />City: L a k e w o o d _,____,___,___ <br />State: C 0 Zip Code: 8 0 2 2 8-_ ___ <br />Mine Name: D <br />- e <br />- s <br />- e r a <br />- - - d <br />- o M i n e <br />- - - - - - - - - - -- - - <br />Brief Description of Revision: ~ Q ~ ~ s $ ~ ~ ~ L ~ ~ _ ~ ~ _ <br />~a3,..4.~.s.g.3~-------- <br /> <br />Public Notice <br />Attached - - <br />Yes x - - - - - - - - - - - <br />No _ (Required for PR's and - - - - <br />TR's) <br />Bond Increase: Yes ~. No ` Federal Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) <br />r _ o o Acres <br />Permit Area (+/-) <br />_ _ o .o Acres <br />State Land (+/-) o i Acres <br />Affected Area (+/=) _ _ o o <br />^ Acres <br />Federal Land (+/-j _ _ Q Acres <br />Private Land (+/-) o Acres <br />6185E (10/90) <br />