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.. _ <br />. .. .. <br />~ .:I <br />/ . .. •. <br />COLORADO DIVISION OF MIlVERALS AND GEOLOGY <br />••~• 1313 Sherman Stre ,Room 215, Denver, Colorado 80203, (303) 866-3567 <br />! ~6 • <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMlT <br />This form must be completed and submitted with all requests for minor revisions, as defined in Rule 1.04(73), <br />technical revisions, as defined in Rule 1.041136), and permit revisions, as defined in Rule 1.041901. All <br />revisions are to address the requirements of Rule 2.08.4. Three (3) copies of the revision, including maps, <br />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 replace the revised sections, maps, <br />_ tables and/or figures, with a revised table of contents, if necessary. The revision submittal date should be <br />printed in the lower right corner of each revision page. A cover letter to the revision should explain the nature <br />of the revision and reference the specific permit sections being revised. <br />For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing <br />list (except OSM) at the same time the application is submitted to the Division, and proof of distribution must <br />be submitted to the Division along with the application. Copies of revision pages modified during the review <br />process must be distributed in the same manner, along with proof of distribution. Proof of distribution must <br />be submitted prior to implementation of the revision. <br />Permit No.: C - 81 - 041 Date: JUNE / 24 / 1998 <br />Permittee: POWDERHORN GOAL COMPANY <br />Street: P_n- eoX ruin <br />City: <br />PA L1S4D E, <br />Stata: CO. Zip Code: tstsze - <br />Brief Description of Revision: REVISION TO SURFACE SEDIMENTATION <br />CONTROL PLAN. <br />Public Notice Attached: Yes X No _ (Required for PRs and TRsI <br />Bond Increase: Yes No Federal X Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+1-) _ _ 0 0 Acres <br />Permit Area (+/-) 0 0 Acres <br />State Land 1+/-) 0 . 0 Acres <br />Affected Area (+/-) _ _ 0 0 Acres <br />Federal Land (+/-) 0 0 Acres <br />Private Land (+/-) 0 . 0 Acres <br />