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STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />1313 Sherman St.. Room 215 <br />Denver. CO 80203 <br />303 666-3567 <br />FA x: 303 832-6106 <br />OF COQ <br />R~ ~ <br />~~~ ~ ~1$ <br />.~L <br />~ Ig76 <br />Roy Romer. <br />Governor <br />Freo A. 6anra, <br />APPLICATION FORM FOR A REYISION omsion Gireclor <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 - g , - Q, L L <br />Date: 0 e/ 1 6/ 9 1 <br />Permittee: C O L O S g ,p, ~- Y A M P A ,_ <br />C O A L_ C O M P A N Y--- g~(C~'~`~~~~~ <br />% <br />Street: 2 9 5 7 9 R O U T T 99~~ttL~-66.1 <br />C O U N T Y - R O A D _ 2 ~ _, AUG 2 1 1991 <br />City: O A K _ C R E E K _----_--IC~h~dtarld <br />$tdte: C O Zip Code: 8 ~0 4 6 '7 - <br />- - - -Reclamation Division <br />Mine Name: MINES ti 2,- E - E C K M A N _ ,fig ~,I~, _, - <br />Brief Description of Revision: C U L V E R T <br /> M O D I-F I-C A T I O N~_- <br />Public Notice Attached -Yes + No X (Required for PR's and TR's) <br />Bond Increase: Yes No ~ Federal X Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/_) N/A <br />- Acres Affected Area (+/=) _ _N/A. Acres <br />- <br />Permit Area (+/-) <br />_ <br />~ _ <br />. Acres Federal Land (+/-) _ <br />Acres <br />_ <br />C <br />State Land (+/-) - l_ Acres Private Land (+/-) _ ~- Acres <br />