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<br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />t 3t 3 Sherman St., Room 215 <br />Denver. CO 80203 <br />303 866.3567 <br />Fn x: 303 832-8t06 <br />Nc~J~41C <br />.~~• <br />. `~~,~ <br />/g16 <br />Ray Romer, <br />Govert+or <br />Frea R. Banta. <br />APPLICATION FORM FOR A REVISION Orvision Oire:tar <br />TO A COAL MINING ANO RECLAMATION PERMIT <br />This form must be completed and submitted with all requests far 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). Al] <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 ,1` , <br />Permit No.: C- s i- Q L l F~`L`,.~~I V E~ <br />Date: 0 2/ 7 2/ 9 1 <br />Permittee: C O L Q~ g 11, ~_ ?' A M P g_ FEB i~ 1991 <br />C O A L_ C O M P A N Y _, __ Mined Land <br />Street: 2 9 5 7 9_ R O U T T___ SBClamatlOfl DIVISIOtI <br />C O U N T Y_ R O A D_ 2 7_ <br />City: O A K _ C R E E K __ ___ _,_,_,___ <br />State: C O Zip Code: 8 0 4 6 7- ___ <br />Mine Name: MINES ti 2,_ 6 _ E C K M A N _ ~g ILK` _ _ <br />Brief Description of Revision: ELIMINATION O_F SURFACE FACILITIES _ _ <br />AND BOND TRANSFER <br />Public Notice Attached - Yes X No _ (Required for PR's and TR's) <br />Bond Increase: Yes No X Federal X Non-Federal Mine <br />Proposed Change irt: <br />Disturbed Area (+/_)_> > ~_, 3 Acres <br />Permit Area (+/-) _ N/A ._ Acres <br />State Land (+/-) _ p p~ Acres <br />Affected Area (+/-)-> > ~ .3 Acres <br />Federal Land (+/_) NIA Acres <br />Private Land (+/-) _ N/A Acres <br />