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<br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />7373 Sherman St.. Room 275 <br />Denver, CO 60203 <br />303 866-3567 <br />FA x. 303 832-6106 <br />` ~bof_ra~'' <br />SE-N 0 ,5 1~19fi <br />'re-re . <br />Di~:i£ion o71•ur3r2!5 & vcc!o9Y ~m„~`. <br />FraE R. Kama. <br />APPLICATION FORM FOR A REVISION olvi51on 0~n!uor <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This form mist be completed and submitted with all requests for minor <br />revisions, as defined in Rule 1.04(73), technical revis-ior-s 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 525 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 9 <br />Ddte: 0 8/ 2 9/ 9 6 <br />Permittee: C 0 L O W Y 0 C O A L C 0 L.P. <br />- - - - - - - - - - - - - - - <br />Street; 5 7 3 1 S t a t e H w y 1 3 <br />--------------- <br />Clty: M e e k e r-------------- <br />State: ~ ~ Zip Code: 8 y ~ ry„L, - - - - - <br />Mine Name: ~~y,s~~s------------- <br />Brief Description of Revision: ~ i Y ~.~ ~ o ~ k - w a c= t- <br />T ~, ~, ,mac - I m p_ 1 e m e n t a = <br />t ~Q. °-----------__- <br />Public Notice Attached -Yes 7c No _ (Required for PR's and TR's) <br />Bond Increase: Yes No x Federal X Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ o_ _ _ Acres Affected Area (+/-) _ o _ _ Acres <br />Permit Area (+/-) _ o_ _ _ Acres Federal Land (+/-) _ o _ Acres <br />State Land (+/_) - ~ - Acres Private Land (+/-) - o - Acres <br />6185E (10/90) <br />