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iiiiiiiiiiiiiiihi <br />STATE OF COLOR~~v <br />DIVISION OF MINERALS AND GEOLOGY RECEIVED ~"~ <br />DeDanment of Natural Rewurces <br />1317 Sherman 51.. Room 2I S JAN 17 ~~~ <br />Denier. Colorado 80201 1995 <br />Phone: 17031 Bfi6-7567 <br />pnx:17o71 s3z-sloe APPLICATION FORM FOR A REVISIO~ <br />TO A COAL MINING AND RECLAMATION PP-PI Minerals s ueplogDEPARTMENT OF <br />~1ATURAI <br />MR 147 RE$~LTRCE~ <br />This form must be completed and submitted with all requests for minor revisions, as defined in Roy Romer <br />Rule 7.04(731, technical revisions, as defined in Rule 1.04(361, and permit revisions, as defined covemar <br />in Rule 1.04(901- All revisions are to address the requirements of Rule 2.08.4. Three (31 copies I+me.s. Lo<hhe,d <br />of the revision, including maps, must be submitted in order for it to be complete. r"`""" D'r"t0r <br />Michael B. Long <br />Division Director' <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 applicaiion. 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 />(AFOI, and proof of submittal to AFO must be submitted to the Division prior to implementation of the <br />revision. <br />Permit No.: <br />Permittee: <br />Street: <br />C- 8 0- 0 0 7 Date: <br />MOUNTAIN COAL COMPANY <br />P.0. Box 591 <br />O 1/ 1 3/ 9 5 <br />- - - - - - - - - - - - - - - <br />City: Somerset _________ ___ <br />CO 8 1 4 3 4 0 5 9 1 <br />State: _ _ Zip Code: _ _ _ _ _ - _ _ <br />Brief Description of Revision: Addition of development waste coal to <br />Lone Pine development waste pile. <br />- - - - - - - - - - - - - - <br />Public Notice Attached: Yes _ No ?` /Required for PRs and TRsI ' <br />Bond Increase: Yes _ Nog Federal x Non-Federal _ Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ 0 0 Acres Affected Area (+/-) _ _ 0 <br />Permit Area (+/-) _ _ ~ ~ Acres Federal Land (+/-) _ _ ~ <br />State Land (+/-) _ _ ~ ~ Acres Private Land (+/-) _ _ o <br />m:\ooal\s h e re\ f o rm s\886 5 <br />cc: Richard Holbrook, OSMRE, Denver <br />0 Acres <br />~ Acres <br />~ Acres <br />