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STATE OF COLC III IIIIIIIIIIIII III DIVISION OF MINERALS AND GEOLOGY Depanmenl o(Natural Rewurces 1313 Sherman SI., Raom I I S Denver, Colorado 60203 Phone: (303) 06b356~ FAX:1303) 832-8106 APPLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMATION PERMIT This form must be completed and submitted with all requests for minor revisions, as defined in Rny ROmn Rule 7.04(731. technical revisions, as defined in Rule 1.04(136), and permit revisions, as defined ~nnr in Rule 1.04(901. All revisions are to address the requirements of Rule 2.08.4. Three (3) copies umn s. Lodrhead of the revision, including maps, must be submitted in order for it to be complete. FiecvYve Dlncl« Midud B. Lmd Dlrlflm Din:ct« All revisions are to be formatted so they can be inserted into the permit to replace the revised sections, maps, tables and/or figures, with a revised table of contents, if necessary. The revision submittal date should be printed in the lower right comer of each revision page. A cover letter to the revision should explain the nature of the revision and reference the specific permit sections being revised. For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing list at the same time the application is submitted to the Division, and proof of distribution must be submitted to the Division along with the application. Copies of revision pages modified during the review process must be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted prior to implementation of the revision. For non-federal mines, a copy of the application for which the Division has issued a proposed approval decision must be submitted to the OSM Albuquerque Field Office (AFOI, and proof of submittal to AFO must be submitted to the Division prior to implementation of the revision. Permit No.: C- 8 0- 0 0 1 Date: 0 8/ t 4/ 9 7 Permittee: The Pittsburg 8 Midwav Coal Mining Co. Street: P.O. Box 178 City: Oak Creek State: C O Zip Code: 8 0 4 8 7- Brief Description of Revision: Reclamation Liability update Public Notice Attached: Yes _ No X (Required for PRs and TRs) Bond Increase: Yes No X Federal X Non-Federal Mine Proposed change in: Disturbed Area (+/-) _ _ 0 0 Acres Permit Area (+/-) _ _ 0 0 Acres State Land (+/-) m:\coallsha re\forms\8666 0 0 Acres Affected Area (+/_) _ _ 0 0 Acres Federal Land (+/-) , _ 0 0 Acres Private Land (+/_) _ _ 0 0 Acres RECEIVED AUG 1 5 1997 Division of Minerals & Geology