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STATL OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Uupanmunl al Natural flusowcu; <br />1777 Snerman St.. Room 215 <br />Ounvur. CO UU207 <br />7U7 uuU~7sG7 <br />r.~x: 707 U7:'~tl 106 <br />(/~'"~ o4'i3 <br />.1~~1t~+~/. <br />Ruy I4uuu/, <br />lwmmW <br />hlun R. RdOla. <br />APPLICATION FORM FOR A REVISION u~.isio/l o~~cclor <br />TO A COAL MINING ANO RECLAIM T10N PERMIT <br />Ttiis form must be completed and submitted with all requests for minor <br />revisions, as defined in Rule 1.04(13), technical revisions as defined in <br />Rule 1.04(3ti) and permit revisions, as defined in Rule 1.04190). All <br />revisions are to address the rcyulretuents of Rule 2.00.4. Three (3) copies of <br />your revision including maps must be sublllitted 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, Wraps, tablrs and/or figures. Explain in the <br />revision what section is being revised. The revision date should De 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, 7 copies Host lle 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, 541, Suite <br />310, Albuquerque, New Mexico 87102. Ttre revision Hwy nut proceed until OSM <br />has been provided copies. Copies should be sent certified mail. <br />Permit No.: C- 8 1_ 0 4 4 <br />Date: 0 9 / 2 I / 92 REC~f~.~~ <br />Permittee: CYP~IS~h(Q~RE,CI1BP1lBAllAN_ - - - . -~P 24 1992 <br />- - - - - - - - - - - - - - - <br />Street: P~~O1L6~ _ - _ _. _ _ _ - - Divla~~l, .,. <br />~{~it"RALS & GEOi.U~~ <br />- - - - - - - - - - - - - - - <br />City: CRAIG <br />- - - - - - - - - - - - - - - - - - - - <br />State: CO_ Zip Code: ~.1~6_ _ _ - _ _ _ _ <br />Mine Nanre: CYPRUS EMPIRE EAGLE MINES <br />- - - - - - - - - - - - - - - - - - - - <br />Drief Description of Revision: 3.o~1deCl~~azi.nellelDCati~n _ _ _ ~ _ _ _ <br />- - - - - - - - - - - - - - - - <br />Public Notice Attached -Yes No X (Required for PR's and TR'sl <br />Dond Increase: Yes No ~_ Federal Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ ~._ Acres Affected Area (+/-) _ _ 0 •_ Acres <br />Permit Area (+/-) _ _ ~•_ Acres Federal Land (+/-) _ _ 0 Acres <br />State Land (+/-) 0 Acres Private Lend (r/-) 0 Acres <br />6185E (10/90) <br />