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r <br />1 <br />,, <br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />1313 Sherman St.. Room 215 <br />Denver. CO 60203 <br />303 666-3567 <br />Fnx:303 632-6706 <br />R~~~I tl ~~ ~~OFCp~~' <br />N~~~a <br />In~ ..~8 <br />O~ ~ G ~ )~~~ ~ 1816 <br />N7med Land • awaomer• <br />Gwemor <br />Reclamation Division Fretl R,6ama. <br />APPLICATION FORM FOR A REVISION G~~:iooone=co. <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This farm nest 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 - 8 0- 0 0 5 _ <br />Date: 1 0/ 2 2/ 9 1 <br />Permittee: P <br />- E <br />- A B O D <br />- - - - Y <br />- C O A L <br />- - - - - - - - <br /> C 0 M P A N Y ________ <br />Street: 1 3 0 0 S O U T H Y A L E <br />City: F L A G S T A F F ____,___,____ <br />State: A Z Zip Code: 8 6 0 0 1-__ _, _ <br />Mine Name: <br />- - - - - - - - - - - - - - - - - - - - <br />Brief Description of Revision: R E C L A M A T I O N _ P L A N <br />1L ~ b L L ~ - - - - - - - - - - <br /> <br />Public Notice <br />Attached <br />- Yes - <br />x ------------ <br />No _ (Required for PR's and ---- <br />TR's) <br />Bond Increase: Yes No X Federal Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) <br />Permit Area (+/-) <br />State Land (+/-) <br />_ _ 0 • 0 Acres <br />_ 0 .0 Acres <br />0 Acres <br />Affected Area (+/-) <br />Federal Land (+/-) <br />Private Land (+/-) <br />~.~ Acres <br />_ _ 0 Acres <br />0 Acres <br />6185E (10/90) <br />