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~1 <br />STATE OF COLORADO <br />Roy Romer, Governor <br /> <br />DEPARTMENT OF NATURAL RESOURCES <br />MINED LAND RECLAMATION DIVISION <br />FRED R nANTA, Dinetor <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This form must be completed and submitted with all requests for minor revisions, as defined <br />in Ru]e 1.04(.73). technical revisions as defined in Rule 1.04(36) and permit recisions, as <br />defined 1n Rule 1.04(90). A11 revisions are to address the requirements of Rule 2.08.4. <br />Three copies of your recision including maps must be submitted in order for it to be complet <br />All revisions are to be formatted so they can be irser+.ed into *he permit to replace the <br />revised sections, maps, tables and/or figures. Explain in the revision what section is bean <br />revised. fie revision date should be printed in the lower right corner of the revision <br />pages. If necessary, the Table of Contents should also be revised. When the final version <br />of the revision is approved, 7 copies must be sent to OSM in Denver for Federal mines and fc <br />non-Federal mines 1 cony must be sent to OSM at 625 Silver Avenue, SK, Suite 310, <br />Albuquerque, New Mexico 87102. The revision may not proceed until OSM has been provided <br />copies. Copies should be sent certified mail. <br />Date: 08 / 25 _/ 94_ <br />Permittee: Behr Coal Co~an~, _~ _ _ _ _ <br />Street: P.O. Box 487 -------~- <br />- - - - - - - - - - - - - - - <br />City: Walden~________________ <br />State: _co Zip Code: 80480 _ _ - _ _ ~ _ <br />Peruit No.: C - so - oos ' <br />s ox e l e In y e lr slon: <br />Type of Revision: liR_ (PR. TR, or MR) <br />Revision Number 18_ (Sequential by Revision Type) <br />Revision Submittal Date g /~~/fig (Date Received by Division) <br />Revision Completeness Date _/ / Revision Incompleteness Date _/ /_ <br />Revision Adequacy Due Date _/ / Revision Adequaq Date _/ /_ <br />Revision Decision Oue Date / / Fee 50.00 <br />Brief Description of Revision: .T~ml?ClLiliy ~kgbiliyatioa. place =$P.~$ded Areas <br />Public Notice Attached -Yes - ~(o ~-(l~equ-ire~ 1'or~R s a'ndZR s)- - - <br />Bond Increase: Yes No g_ federal Non-Federal Mine <br />Proposed Change 1n: <br />Disturbed Area (+/-) _ ~~ Acres Affected Area (+/-) o ,o Acres <br />Perloit Area (+/-) - _ ~~ Acres Federal Land (+/-) - r ~ ~ Acres <br />State Land (+/-) - ~ .0 Acres Pri rate Land (+/-) - - Acres <br />Lead Recl amation Spec~til~st [tPn 6185E (1~er-2~88p <br />423 Centsnnlal Building, 1313 Sherman Strset Oenwr, Colorado 8020.7-2273 Tel (303) 866.3567 <br />