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STATE OF COLORADO DIVISION OF MINERALS AND GEOLOGY ~""°''~~ `'~ Department of Natural Resources RECEIVED ~ 17135herman 5l., Room 215 : Denver, Colorado 80203 AUG 17 1995 Phone: 17071866-7567 ~~~ FA%: (7071872-8106 APPLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMATION PERMIT DEPARTMENT' OF Division of Minerals & Geology NATURAL RESOURCE This form must be completed and submitted with all requests for minor revisions, as defined in Roy Romer Rule 1.04{731, technical revisions, as defined in Rule 1.04136), and permit revisions, as defined cwerrror in Rule 1.041901. All revisions are to address the requirements of Rule 2.08.4. Three (3) copies lames 5. Lochhead of the revision, including maps, must be submitted in order for it to be complete. taecutive Director Michael B. Long All revisions are to be formatted so they can be inserted into the permit to replace the revised Division Director sections, maps, tables and/or figures, with a revised table of contents, if necessary. The revision submittal date should be printed in the lowe[ right corner of each revision page. A cover le tter 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 1- 0 2 5 Date: 0 8/ 1 4/ 9 5 Perntittee: M I N R E C ~ _ I N C _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ N O R T H T H O M P S O N C R E E K M I N E S - - - - - - - - - - - - - - - - - - - - - - - - - - - Street: 2 7 6 8_ C O M P A S S_ D R I V E L_ S T E_ 1 0 1_ - - - - - - - - - - - - - - - - - - - - - - - - - - - City: G R A N D _ J U N C T I O N _ _ _ _ _ _ _ _ _ _ _ _ _ _ State: C O Zip Code: 8 1 5 0 6 - _ _ _ _ _ _ _ _ _ _ '_ _ _ Brief Description of Revision: R E V I S E_ T R E A T M E N T_ P O N D_ S P I L L W A Y P I P I N G Public Notice Attached: Yes _ No XX (Required for PR's afld TR's) Bond Increase: Yes _ No xX Federal XX Non-Federal _ Mine Proposed Chauge u7: Disturbed Area (+/-) _ _ 0.0 Acres Permit Area (+/-) _ _ 0.0 Acres Affected Area (+/-) _ _ 0.0 Acres Federal Lattd (+/-) _ _ 0.0 Acres State Land (+/-) _ _ 0.0 Acres Private Land (+/-) _ _ 0.0 Acres