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l-~j <br /> <br />DIVISION OF MINERALS AND GEOLOGY <br />Depanmenl of Natural Resources <br />1317 Sherman St., Room 215 <br />Denver, Colorado 00203 <br />Ph ne~ 1703) 866-7567 <br />STATE OF COLORADO <br />~~ <br />FAX: (7071832-8106 APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT DEPARTMENT OF <br />NATURAL <br />RESOURCE <br />This form must be completed and submitted with all requests for minor revisions, as defined in Roy Roma <br />Rule 1.04(731, technical revisions, as defined in Rule 1.04(136), and permit revisions, as defined coverrgr <br />in Rule 1.041901• All revisions are to address the requirements of Rule 2.08.4. Three 131 copies lames s. L«hhead <br />of the revision, including maps, must be submitted in order for it to be complete. taecurive Dimctor <br />Michael B. Long <br />Division Dircaor <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 contents, 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- 9 4 . 0 8 <br />-- 2 <br />- Date: 1 0/ 0 <br />- 5/ 9 5 <br />~-;. <br />Permittee: S E N E C A _ C 0 A L_ _~ _ _ RECEIVED <br />C 0 M <br /> <br />1 3 0 <br />Street: <br />- - - P A <br /> <br />0 <br />- - N <br /> <br />S <br />- Y _ <br /> <br />0 U <br />- - _ _ _ _ <br /> <br />T H Y <br />- - - - _ _ <br /> <br />A L <br />- - _ OCr -~ 0 <br /> <br />E 1995 <br />- <br /> Division or Minerals & Geology <br />City: F L A G S T A F F <br />State: A ? Zip Code: 8 6 0 0 1_ <br />Brief Description of Revi sion: R E v I ~ ~ _ ~ ~ ~ ~ g _ ~ <br /> R O G R A M_ P E R_ S T I <br /> P 6 <br />Public Notice Attached: Yes x No _ /Required for PRs and TRsI <br />Bond Increase: Yes _ Nog Federal x Non-Federal _ Mine <br />Proposed Change in: <br />• Disturbed Area (+/-) _ <br />Permit Area (+/-) _ _ 0 <br />_ ~ 0 <br />~ Acres <br />Acres Affected Area <br />Federal Land (+/-1 _ <br />(+!-1 _ _ 0 . 0 Acres <br />_ ~ ~ Acres <br />State Land (+/-) _ _ ~ ~ Acres Private Land (+/-) _ _ ~ ~ Acres <br />m: \co el\a h ara\fo rm s\8885 <br />