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JAN-29-'93 10:12 ID:CO MINED LRIJD REC'L TEL N0:303-832-8106 n041 P02 - - <br />STATE QF CC7LQRADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Oeparrmenl olNaWral Resources ' <br />~` . <br />1)13 Slxrtnen SI., floom 21 S <br />Denver, CO 90202 ~~ ~ ~ <br />Phone: 13031 866.3567 <br />FAX:17071972.9106 <br />APPLICATION FORM FOR A REVISION xuvx~ner <br />TO A COAL MINING AND R[:CLAMATION PERMIT c°"""0f <br />Michael 9. !anti <br />DNlsl°n DIRCror <br />This form must be completed and submitted N1th all requests for minor <br />revisions, as defined 1n Rule 1.04(73>, technical revisions as defined to <br />Rule 1.04(136) and permit revisions, as defined in Rule 1.04(90). All <br />revisions era to address the requirements of Rule Z.OB.4. Threw <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 />1n 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, the Federal operation is responsible for providing one copy to each <br />of the agencies noted on the Federal Agencies Mailing Ltst. For non-Federal <br />mines, the operation Is responsible for providing one copy to OSM 1n <br />Albuquerque (625 Silver Avenue, 5W, Suite 310, New Mexico 67102). The <br />revision may not proceed unt11 OSM has been provided copies. Copies should be <br />sent certified mats. <br />Perm1 t No.: C- 8~- 0 7 ~, <br />q~~., . . <br />Date: _ 5-/ - 7 / 9 ~ <br />Permtttee: ~Qi_Roc~ Ce,4t ~ow_Pr9'/iL - - - - JUN 8 1993 <br />Street: /3.5'a ,_(,7~i S-; S_I~ 3sD--. Diwswr.,,._....__-_ _. <br />City: -~6-NY1~ - -_..----------- <br />5tate: Co Zip Code: ~ ~-o Z-- - - - - - <br />Mtne Name: - ~~uRocK Cs~r- l~j.uE - ! - _ - - - <br />Brtef Description of Revision: /rn~ovr~ C_c/.o.~trs-Fr-1~ /?u~+u~F Ca~ReT'°~ <br />--~L._rce+ ~ Ga-.w,Ns~~/~itc~~+ /~s5 ~o~w <br />_ i o -TDPSo~ ~i ~d . _ <br />Pub11c Notice Attached - Yes ~ No ~ (Required for PR's and TR's> <br />Bond Increase: Yes No , C~ Federal Non-Federal _~,,,, Mine <br />Proposed Change in: /V~- <br />Disturbed Area (+/-) - _, - - Acres <br />Permit Area (+/-> - - - - Acres <br />- State Land (+/-) - - - Acres <br />Affected Area (+/-) - ~ ,. -.~ Acres <br />- <br />Feder.at Land (+/-) _ - Acres <br />- <br />Private Land (+/-> - - - Acres <br />6185E (01!93) <br />