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- - _-- - - - III IIIIIIIIIIIIIIII <br />COLORADO DIVISION OF 1VIINERALS All„ v~vl,ul;Y <br />•.~ ~ ,• 1313 Sherman Stteet, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />RECEIV <br />APPLICATION FORM FOR A REVISION FEg 23 1999 <br />TO A COAL MINING AND RECLAMATION PERMIT Geo1o9Y <br />pivis~on of M~netais ~ <br />This form must be completed and submitted with all requests for minor revisions, as defined in Rule <br />1.04173), technical revisions, as defined in Rule 1.04(1361, and permit revisions, as defined in Rule 1.04(901 <br />All revisions are to address the requirements of Rule 2.08.4. Three (31 copies of the revision, including <br />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 replace the revised sections, <br />maps, tables andlor figures, with a revised table of contents, if necessary. The revision submittal date <br />should be printed in the lower right corner of each revision page. A cover letter to the revision should explain <br />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 (except OSM) 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 - ~ - D I Z Date: 0 2_ / 1 ~ / ~`~ <br />Permittee: P:clLr.ti,,.r:ra ~roc~ss),~,. LLG <br />Street: 13 U t-1.r~,~,t ,.i o.. 2 ~ ,- ~ r c <br />city: E~....~~~-~~ <br />State: ~ N Zip Code: 4'- ~ tl - <br />Brief Description of Revision: R ~~,. ~ i ~ o ti = .. (-F-., d ro I e ~) ~ <br />frtunlt'Ot)/1N <br />Public Notice Attached: Yes ~ No _ (Required for PRs and TRsI <br />Bond Increase: Yes _ No 1~ Federal _ Non-Federal _ Mine <br />Proposed Change in: <br />Disturbed Area (+/-) - _ D , _ Acres Affected Area (+/-) _ _ O . _ Acres <br />Permit Area (+/-) _ _ 0 . _ Acres Federal Land (+/-) _ _ a . _ Acres <br />State Land (+/-) _ _ D . _ Acres Private Land (+/-) _ _ 0 • _ Acres <br />m: \co al\sh a re\f o rm s\886 5 <br />