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STATE OF COLORADO MINED LAND RECLAMATION DIVISION Department of Natural Resources 1373 Sherman St.. Raom 215 Denver. CO 80203 303 666-3567 Fn x: 303 832.6706 oF.=o~, ~~'~ *~ „ %~8 . . 're7s Roy Romer. Gorerrior Freo R. Barra. APPLICATION FORM FOR A REVISION DinSionDire:oor TO A COAL MINING AND RECLAMATION PERMIT This form must be completed and submitted with all requests for minor revisions, as defined in Rule 1.04(73), technical revisions as defined in Rule 1.04(36) and permit revisions, as defined in Rule 1.04(90). All revisions are to address the requirements of Rule 2.08.4. Three (3) copies of your revision including maps must be submitted in order for it to be complete. All revisions are to be formatted so they can be inserted into the permit to replace the revised sections, maps, tables and/or figures. Explain in the revision what section is being revised. The revision date should be printed in the lower right corner of the revision pages. If necessary, the Table of Contents should also be revised. When the final version of the revision is approved, 7 copies must be sent to OSM in Denver for Federal mines and for non-Federal mines 1 copy must be sent to OSM at 625 Silver Avenue, SW, Suite 310, Albuquerque, New Mexico 87102. The revision may not proceed until OSM has been provided copies. Copies should be sent certified mail. Permit No.: C- 8 1- 0 1 8 Date: ~ S/ 1 s/ 9 1 Permittee: W ESTER N F U E L S- U T A H, - - - - - - - - - s ' - - - I N C _ _ _ _ _ _ _ _ _ _ Street: 4 0 5 U r b a n S t. i S u i t e_ 3 0 5 City: L a k e w o o d - - - - - - - - - - - - - - - - - - - - State: C 0 Zip Code: g 0 Z 2 g- Mi rte Name: D e s e r a d o M i n e - - - - - - - - - - - - - - - - - - - - Brief Description of Revision: I N C I D E N T A L_ B 0 U N D A R Y C H A N G E - - - - - - - - - - - - - - - - - - - - - - - _ Public Notice Attached -Yes X No _ (Required for PR's and TR's) Band Increase: Yes No X Federal X Non-Federal Mine Proposed Change in: Disturbed Area (+/-) _ _ 0. 0 Acres Affected Area (+/-) i _ ~.~ Acres Permit Area (+/_) _ _ 0, 0 Acres Federal Land (+/-) _ _ Q. Acres . State Land (+/-) 0 Acres Private Land (+/-) 0 Acres 6185E (10/90)