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J <br /> <br />MINED LAND RECLAMATION DIVISION <br />Department of Nawral Resources <br />1313 Shemwn St.. Room 215 <br />Denver. CO 80203 <br />303 866-3567 <br />FAX: 303 832-8106 <br />~~o <br />~' <br />~~ i8 <br />. ~i •` <br />' pan <br />RoY Mnw. <br />Gavior <br />STATE OF COLORADO <br />' FreA 0. Bami <br />APPLICATION FORM FOR A REVISION two^~r <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This form must be completed and submitted with all requests for minor ' <br />revisions, as defined in Rule 1.04(73), technical revisions as defined in <br />Rule 1,04(36) and permit revisions, as defined in Rule 1.04(90). All <br />revisions are to address the requiremerrts of Rule 2.08.4. Three (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 />in 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, 7 copies must be sent to OSM in Denver for Federal mines and for <br />non-Federal mines 1 copy oust be sent to OSM at 625 Silver Avenue, SW, Suite <br />310, Albuquerque, New Mexico 87102. The revision may not proceed until OSM <br />has been provided copies. Copies should be sent certified mail. <br />'Permit No.: C- 8 1 - 0 1 8 <br />Ddte: 0 3/ 1 1/ 9 6 '. <br />Permittee: S <br />W E T E R N F U E L S- U T :A~ H, RGr~~~i~n <br />- <br /> _ <br />I N c -_-_-_ -_ -_ MAR -111996 <br />-_-_-___-_-__~: <br />Street: 4 0 5 U r b a n S t. <br />- <br /> --- <br />$ ,~, i ------------ <br />t E - ~ 0 5 - - - - - -®IVlf:ipn al idlinor~ia x. i..,,-gigqV <br />City: L a k e w o o d ------------ <br />State: C 0 Zip Code: 8 0 2 2 8- _, --- <br />Mine Name: D e <br />-- s <br />- e r a <br />--- d <br />-- o <br />- M i n s <br />------------- <br />Brief Description of Revision: D R I L L- H O L E- L W 9 -1 - <br />_ L W 9_2A N D -,~,L7 ~i-----,~-- <br />Public Notice Attached - Yes No x (Required for PR's and TR's) <br />Bond Increase: Yes x No Federal x Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) - - 1.~ Acres <br />Permit Area (+/_) - - o .Q Acres <br />State Land (+/-) - - o Acres <br />Affected Area (+/=) _ - ~.~ Acres <br />Federal Land (+/-) _ _ o Acres <br />Private Land (+/-) o Acres <br />_ 6185F (70/90) <br />