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09/01/02 FRI 14:58 FA% 9702411518 <br />Minerals & Geology G Jci <br />3/i/~ <br />M Q-5`7 <br />•,~~.t COLOR.4D0 DMSION OF 1VIIPiERAI.S AND GEOLOGY <br />1313 Sherman Street, Routn 21 S. Dcnver, Colorado 80203, (703) 866-3567 <br />~_i <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This form must be completed and submitted with a8 requests for minor revisions, as defined in Rule 7.04(73), <br />technical revisions, as defined in Rule 1.04(136), and permit revisions, as defined in Rule 1.04(90), All revisions <br />are to address the requirements of Rule 208.4. Three (3) copies of the revision, including maps, must Ge <br />submitted in oMer for it to be complete. <br />All revisions are to be formatted so they can be inserted Imo the pemtit to replace the revised sections, maps, <br />tables and/or figures, with a revised table of contents, if necessary. The revision submittal date should be printed <br />in the Tower right comer of each envision page. A cover letter to the revision should explain the nature of the <br />revision and reference the specific permit sectons being revised. <br />/I1itSrf <br />For federal mines, a copy of the revision appGrstlon must be submitted to all agendas on the federal mailing list <br />(except OSM) at the same time the application is submitted to the Division, and pmoF of distribu0on must be <br />submitted to the Divtsien along with the application. Copies of revision pages modified during the review process <br />must be distributed in the same manner, along with proof of distnbution. Proof of disfibcdion must bs submitted <br />prior to implementation of the revision. <br />PermitNo.: C - 81 - 041 Date: 07. / 28 / 02 ~-~ <br />Permlttee: Powderhorn Coal Cotnpanv <br />Roadside Mine <br />Street: p o sox ~ 430 <br />City: Palisade <br />State: c'~ Zip Code: 8152 6 - <br />Brief Description of Revision: Proposed realignment of Access Road No.4. <br />Puhlic Notice Attached; Yes _ No ~X_ (Required for PR's and TR's) <br />Bond Increase: Yes _ No XX Federal XX Non-Federal ~ Mine <br />Proposed Change in: <br />Permit Area - Surface Ownership - <br />Disturhed (+/-) _ _ 0 .,(~ Acres Private Lend (+/-) _ _ 0.0 Acres <br />Permit (+/-) _ _ 0.0 Acres <br />Affected (+/-) _ _ 0.4 Acres <br />Mineral Ownership - <br />Mineral Private (+/-) _ _ Q.Q Acres <br />Mineral Federal (+/-) _ _ 0 . 0 Acres <br />Federal Land (t/-) _ _ O.Q Acres <br />State Land (+/-) _ _ 0 . 0 Acres <br />Mineral State (+/-) _ _ 0. 0 Acres <br />