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iii iiiiiiiiiiiii iii 999 DIVISION OF MINERALS AND GEOLOGY Depanmern of Nalaral Rnoun:n ,JIJ Sherman Sr.. Room 215 Dern+er. Colorado 8020] Rene: iJ031 b66.7567 RECEIVED rAx:uo31e3~•aloa APPLICATION FORM FOR A REVISE 16 2000 TO A COAL MINING AND RECLAMATION PERMIT Division of Minerals 8 Geology This corm must be completed and submitted with all requests for minor revisions, as defined in ea. Gainer Rule 1.04(73), technical revisions, as defined in Rule 1.041136), and permit revisions, as defined ~OY°1° in Rule 1.04(90), All revisions are to address the requirements of Rule 2.08.4. Three 131 copies la"" s. t°d'nead Faecutire Oireaor of the revision, inGuding maps, must be submitted in order for it to be complete. Mld;,a e. cane olrislan oiuciv All revisions are to be formatted so they can be inserted imo the permit to replace the revised sections, maps, tables and/or figures, with a revised table of contents, if necessary. The revision submittal date should be printed in the lower right corner of each revision page. A cover letter to the revision should explain the nature of the revision and reference the specific permit sections being revised. For lederal mines, a copy of the revision application must be submitted to all agencies on the federal mailing list at the same time the application is submitted to the Division, and proof of distribution must be submitted to the Division along with the application. Copies of revision pages modified during the review process must be distribu[ed in the same manner, along with proof of distribution. Proof of distribution must be submitted prior to implementation of the revision. For non-federal mines, a copy of the application for which the Division has issued a proposed approval decision must be submitted to the OSM Western Regional Coordinating Center 11999 Broadway Blvd., Suite 3320. Denver, CO 80202-5733), and proof of submittal to OSM must be submitted to the Division prior to implementation of the revision. Permit No.: C - ~ Z - ~ ~ ~ Date: ~ _3 I 1 5 / 0 0 Permittee: T W E SL _2 ~ ~ ~ J._ ~ ~ Q ~ ~ - ~ ~ Nl_ ~ _A_. ILL ~ - - - - Street: Z 3_ S_ ~ -5- - .B- ~- 1L L. L ~~__LI ~ S Y ~ Q ~~- -~-i y-------- State: ~ Q Zip Code: ~ ~ +~ .~ Z - - - - - Brief Description of Revision: Installation of crusher at preparation plant Public Notice Attached: Yes - No X (Required for PRs and TRs) Bondlncrease: Yes ~ No- Federal X Non-Federal - Mine Proposed Change in: Disturbed Area (+/.) - - 0 0 Acres Affected Area (+1-) - Permit Area (+1.) - - 0 0 Acres Federal Land (+l-) - State Land (+/_) - - 0 0 Acres Private Land (+l-) - STATE OF COLORADO _Q . Q Acres 0 0 Acres 0 0 Acres