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<br />- ~ r~. :STATE OFrC~L<t~RA~bO <br />~k~ <br />- ' MINED LANG RECLAMATION DIVISION <br />aP+h~ a Wtunl newura~ <br />t1t7 Shemm~ St.. Qopm 2t5 <br />or,~.. CO 80zw <br />707 866-1567 <br />FAIL: 707 972•Bt06 <br />-, <br />., <br />RECEIVED <br />ut;l 17 1996 <br />Division of Minerals ~ neology <br />,,~. __ <br />!_ APPLICATION FOAt4-FOR A REYISION <br />TO A COAL NI NI HG ANO RECLAMATION PERMIT <br />•~~ . <br />•,.,~ <br />nap wn.. <br />w..~d - <br />FwA 0. 8~mt <br />ow:.an ow.aw <br />This form oust be completed and submitted with ail requests for minor <br />revisions. as defined in Rule 1.04(73), technical revisions as. defined 1n <br />Rule 1.04(36) and permlL revisions, as defined to Rule 1:04(90). All <br />revisions are to address the requirements of Rule 2.08:4...Three (3) copies' of`~ <br />your repision including Daps Host be submitted in order for it to be~eao<plete, <br />.Ali revisions are to be formatted so they can be inserted-into the permit tom <br />replace the revised sections, aups, tables and/or figur~i: Explain in the <br />revision what section is being revised. The revision date should be printed <br />-1n the lower right corner of the revision pages, If necessary, the Table of <br />ConterKS should also be revised. Nhen the final version of the revision is <br />approved, 7 copies must be sent to OSN in Denver for Federal mines and for <br />non-Federal mines 1 copy east be sent to OSN at 625 Sliver Avemre, SM, Suite <br />310, Albuquerque. New.Nexico 87702. The revision may not proceed unti~,l Q~ <br />has been provided copies. Copies_shauld be sent certifii$ mail; '"~ <br />'Permit No.• C - $ ~ - O <br />Date: ...:_~' ~ _/ S (~ <br />~~ <br />Permittee: 5 V ~) ~ A- n) Q - M, ~ ni,,.j~ E, CUP.P. _ - <br />Street: ~Q $Qx_ _2Sg-------- <br />ctty: ~Z ~?lal~S ---- ---------- <br />State: ~ Y zip code: ~ ~. ~ ~ 3 _ - _ <br />Mi ne _Naae: ~ P ~~ - ~-oZ -- ,_ - - - - _ - - _ <br />Brief Description. of..Rer3sion: g•Evtis,~~J ~- ~c,,sh~~„ ~/~~- <br />.Public Notice Attad~ed -Yes No ~ (Required for PR's and nil's) <br />Bond Increase: .Yes + No ~ Federel-- CL Non-Federal _ Nine <br />Proposed Change in: <br />Disturbed Aree (+j,,) _ _ D .- Acres <br />Permit Area". (+/-) O . Acres _ <br />- - - - <br />State land (+/-) ~ a . Acres- <br />- ~ ,;. <br />_. _ <br />rw~- .mow iww. :,.~ ___ <br />Affected Area <br />Federal Land <br />(+/-) Q Acres: <br />.- _ <br />(+/-) ,_ 4_. Acres <br />_. <br />