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iiiiiiiiiiiiiiiiu <br />_ STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION oF.~o~ <br />Department of Natural Resources ~ = R~ <br />ti <br />t313 Sherman St.. Room 215 ~Q(,'.1?,~ ~$ <br />Denver, C080203 '~~1;;8_;T~ <br />303 866-3567 ~ gave°. <br />FA X; 303 832.8106 <br />Ray Romer, <br />Gwemor <br />Fretl R. Banta. <br />APPLICATION FORM FOR A REVISION Division Director <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 />A71 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 mist 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- B 4_ 0 6 5 <br />Date: 2 5 / 0 $ / ~. ~. R~~ E-.~ ~.-. <br />Permittee: N C I G F~,~~y ~y - - - - - pUG 2 6 1992 <br />--------------- <br />Street' 2 9 Glen Eagle Circle ~,~,,,,- GE~,L~~ <br />--------------- MINERA~S& <br />- - - - - - - - - - - - - - - <br />City: N e w C ~5~1 ~'- --- ---,-,--- <br />State: C~ Zip Code: 8 1 6 4 7 _ 9 7 6 7- <br />Mine Name: C o a l R i d g e N o. 1 <br />- - - - - - - - - - - - - - - - - - - - <br />Brief Description of Revision' certain maps with new certifications and mi <br />"Z•oT'1-~ctians, new ~bTe of-contents, one new <br />ZSXif7,BTt-dne re~acemerT£ page - - - - <br />Public Notice Attached -Yes No % (Required for PR's and TR's) <br />Bond Increase: Yes No x Federal Non-Federal x Mine <br />Proposed Change in: <br />Disturbed Area (+/-) <br />Permit Area (+/-) <br />State Land (+/-) <br />none_ _ ACres <br />none_ ACres <br />none ,Acres <br />Affected Area <br />Federal Land <br />Private Land <br />(+/-) _none . _ Acres <br />(+/- ) _none_ Acres <br />(+/-) none ACres <br />6185E (10/90) <br />