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<br />STATE OF COLO <br />DIVISION OF MINERALS AND GEOLOGY <br />Depanmem of Natural Resources <br />131 3 Sherman 51., Roam 215 <br />Denver, Colorado 80203 <br />Phone: 13031866-3587 <br />-.r I\IF-~~) <br />i~'R 0'~ 1995 <br />FAX: 13071832-8106 APPLICATION FORM FOR A REVISION I~ ~ <br />TO A COAL MINING AND RECLAMATION PERMIT DEPARTMENT O <br />ulvlslon of I~nnerals is Geology~ATURA] <br />RESOURCE' <br />This form must be completed and submitted with all requests for minor revisions, as defined in Roy Romer <br />Rule 1.04(731, technical revisions, as defined in Rule 1.04(361, and permit revisions, as defined eovernnr <br />in Rule 1.04(901. All revisions are to address the requirements of Rule 2.08.4. Three 131 copies Tames s r«nnead <br />of the revision, including maps, must be submitted in order for it to be complete. E.e<~I~~e Dirrtl« <br />Michael 8. Lmg <br />Division DIIMO! <br />All revisions are to be formatted so they can be inserted into the permit to replace the revised <br />sections, maps, tables and/or figures, with a revised table of coritents, if necessary. The revision <br />submittal date should be printed in the lower right corner of each revision page. A cover letter to the <br />revision should explain the nature of the revision and reference the specific permit sections being revised. <br />For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing <br />list at the same time the application is submitted to the Division, and proof of distribution must be submitted <br />to the Division along with the application. Copies of revision pages modified during the review process must <br />be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted <br />prior to implementation of the revision. For non-federal mines, a copy of the application for which the <br />Division has issued a proposed approval decision must be submitted to the OSM Albuquerque Field Office <br />(AF01, and proof of submittal to AFO must be submitted to the Division prior to implementation of the <br />revision. <br />Permit NO.: C- 8 1- 0 1 0 Date: 0 3 / 3 1 / 9 5 <br />Permittee: T R A P P E R M 2 N 2 N G I N C <br />- - - - - - - - - - - - - - - <br />- - - - - - - - - - - - - - - <br />Street: ~ ~ -~ o x _1 e? _ _ _ _ _ _ _ <br />- - - - - - - - - - - - - - - <br />t:lty: C R A I G_ <br />State: ~ o Zip Code: a I 5 2 5__ <br />Brief Description of Revision: A P I T D 2 5 T U R 8 A N C E <br />- - - - - - - - - - - - - - <br />Public Notice Attached: Yes _ No x (Required for PRs and TRs) <br />Bond Increase: Yes _ No ~ Federal g Non-Federal _ Mine <br />Proposed Change in: <br />Disturbed Area (+/-1 _ ? ~ e Acres Affected Area (+/-) _ _ _ _ Acres <br />Permit Area (+/-) J _ _ _ Acres Federal Land (+1-) _ _ _ _ Acres <br />State Land (+/-) - _ _ _ Acres Private Land (+/-) _ _ _ _ Acres <br />m: \coel\shere\forms\8865 <br />