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STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />t3t3 Sherman S[.. Roam 275 <br />Denver. CO 80203 <br />303 866-3561 <br />Fax. 303 632-8706 <br />o^co <br />~~:,~~ <br />Nr% ~~ <br />.L <br />'rage <br />Ro, Ramer. <br />Gwemm <br />Frey R Banta. <br />APPLICATION FORM FOR A REVISION orvisicn oue:tor <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 requirements of Rule 2.08.4, Three (3) copies of <br />your revision inc]uding 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 OSF1 in Denver for Federal mines and for <br />non-Federal mines 1 copy mist be sent to OSM at 525 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- s i- 0 1 9 <br />Date: 0 7/ 1 3/ 9 4 <br /> `~ <br />Permittee: c <br />- o L o <br />--- w Y o <br />--- C <br />-- O A L C <br />----- 0 <br />- RF~~I~/FU <br />L. P. <br /> <br />Street: 5 <br />- <br />7 3 1 <br />--- _ __ <br />S T <br />--- __ <br />A T <br />--- _ ____ <br />E H W Y <br />----- _ <br />JUL 19 1994 <br />- <br />1 3 - - - - - - - - - - - - t'7ivi~~on cr n^.u;erau d ut,...9Y <br />City: M E E K E R - _„ - - - - - - - - - - - - <br />Stdte: C 0 Zip Code: 8 1 6 4 1--- -- <br />MineName: ~ Q~Q~~Q -- ----- ------ <br />Brief Descripti on of Revision: P R o s P E c T _ ____ <br /> W A T E R S H E D <br /> R E <br />- - M O D E L <br />- - - - - I N G <br />- - - - - - - - - <br />Public Notice A ttached -Yes x No _ (Required for PR's and TR's) <br />Bond Increase: Yes No x Federal x Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) - - - - Acres Affected Area (+/-) - - - - Acres <br />Permit Area (+1-) - - - - Acres Federal Land (+/-) - - - Acres <br />State Land (+/-) <br />Acres Private Land (+/-) <br />Acres <br />-- „ „ ,~,. <br />