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pF' p0~ <br />'. 44,4,• <br />`' $ COLORADO DIVISION OF MINERALS AND GEOLOGY <br />•,~f' 1313 Sherman Stre ;Room 215, Denver, Colorado 80203, (303) 866-35n6C7rC III IIIIIIIIIIIII I~' <br />ie~c' --F~-kyt <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PE <br />- 999 <br />SAP 17 iJ~B <br />DIV. OF MINERALS <br />6 GEOLOGY <br />This form must be completed and submitted with all requests for minor revisions, as defined in Rule 1.04(731. <br />technical revisions, as defined in Rule 1.04(136), 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 the revision, including maps, <br />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 replace the revised sections, maps, <br />tables and/or figures, with a revised table of contents, it necessary. The revision submittal date should be <br />printed in the lower right corner of each revision page. A cover letter to the revision should explain the nature <br />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 lexcept OSMI at the same time the application is submitted to the Division, and proof of distribution must <br />be submitted to the Division along with the application. Copies of revision pages modified during the review <br />process must be distributed in the same manner, along with proof of distribution. Proof of distribution must <br />be submitted prior to implementation of the revision. <br />Permit No.: C - 81 - 019 Date: 9 / 14 / 98 <br />Permittee: COLOWYO COAL CO. L. P. <br />Street: 5731 STATE HIWAY 13 <br />City: MEF.KF.R <br />State: rn Zip Code: 81641 <br />Brief Description of Revision: <br />STREETER MONITOR WELL '- MR-48 <br />Public Notice Attached: Yes _ No X (Required for PRs and TRsI <br />Bond Increase: Yes No K Federal X Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ J 9 . _ Acres Affected Area (+/-) _ <br />Permit Area (+/-) _ _ 0 . _ Acres Federal Land (+/-) _ <br />0 Acres <br />0 Acres <br />State Land (+/-) _ _ 0 . _ Acres Private Land (+/-) _ _ ~ . _ Acres <br />