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<br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION of ~o <br />Department of Natural Resources ti~.~ ~*~ <br />t 713 Sherman St.. Room 215 ~Q e-1~ <br />Denver CO 60203 • `~~''(c".~),:"{ <br />303 666.3567 ls7a' <br />FA%:307 632.6106 <br />Rpr pant. <br />OoNnv <br />' FrW q, Band <br />APPLICATION FORM FOR A REYISION orvrnon ortactor <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. firee (3) copies of <br />your revision inc]uding maps must be submitted in order for it to be complete. <br />All revisions are to be formatted sa 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 Oenver far Federal mines and for <br />non-Federal mines 1 copy must be sent to OSM at 625 Sliver 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 2- 0 5 6 MR 93-99 <br />Oate: 1 2/ 0 3/ 9 3 <br />Permittee: T W A ~(L ~~ 1 L Z_ C O A L <br />Street: 2 9 5 1 ~_~QY11____ `.\,J~~ <br />c o u N Z~L.._S.Q~IZ_zz='="oE; 199+ <br />City: O A K _~g~.~li.--- --,---- <br />State: C O. Zt p Code: Z L ~ L Z - _ `_' _ _ ... c:' a Gec!x. <br />M1neName: FO I D ~S._~g~EJL_~LbLE.-_ <br />Brief Description of Revision: B E L T_ O U T_ B A C K___ <br />Public Notice Attached -Yes - No X (Required for PR's and TR' s) <br />Bond Increase: Yes X No Federal X Non-Federal Mine <br /> ` <br />Proposed Change in: <br />Disturbed Area (+/_) _ N/A_ _ Acres Affected Area (+/-) _ yLA,_ •_ Acres <br />Permit A.'ea (+/_) _ N/A _ _ Acres Federal Land (+/_) _ ~A_ Acres. <br />C+a+o t enA !i/_1 N/A Arroe Drivato I anA (+/_1 N/A Acres <br />