REV99880

• Permit No: C1980002
• IBM Index Class Name: Revision
• Doc Date: 10/8/1995
• Doc Name: APPLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMATION PERMIT
• Type & Sequence: TR4
• Media Type: D
• Archive: No

III IIIIIIIIIIIIIIII
STATF OF COLvi~~v
DIVISION OF MINERALS AND GEOLOGY
Deparlmenl of Natural Resources
1717 Sherman St., Room 215
Denvcr, Colorado 80203
Phone: [phone]
FA%:(7031832-8106 APPLICATION FORM FOR A REVISION
TO A COAL MINING AND RECLAMATION PERMIT
This form must be completed and submitted with all requests for minor revisions, as defined in
Rule 1.041731, technical revisions, as defined in Rule 1.0411361, and permit revisions, as defined
in Rule 1.04(901. All revisions are to address the requirements of Rule 2.08.4. Three 13) copies
of the revision, including maps, must be submitted in order for it to be complete.
DEPARTMEM' OF
NATURAL
RESOURCES
Roy Romer
Governor
lames 5. Lochhead
Exetuuve Director
Michael 8. Long
Division Dire<ior
All revisions are to be formatted so they can be inserted into the permit to replace the revised
sections, maps, tables and/or figures, with a revised table of contents, if necessary. The revision
submittal date should be printed in the lower right corner of each revision page. A cover letter to the
revision should explain the nature of the revision and reference the specific permit sections being revised.
For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing
list at the same time the application is submitted to the Division, and proof of distribution must be submitted
to the Division along with the application. Copies of revision pages modified during the review process must
be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted
prior to implementation of the revision. For non-federal mines, a copy of the application for which the
Division has issued a proposed approval decision must be submitted to the OSM Albuquerque Field Office
(AFO), and proof of submittal to AFO must be submitted to the Division prior to implementation of the
revision.
Permit No.: C- a ~- ~ ~? Date: 1 0/ 0 4/~ "~
Permittee: 0 h i o- C r e e k- C o~ a 1 -. ~R,4a,~

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- - - - - - f~~~~IVED ~~, -.
Street: 2 0 ~ 4- C o u n t y__
-- OCT d f~ 1995
R o a d 7 3 0
City: G u n n i s
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- - - - - ~ivician at Id+nalPlc & Gsa!e9Y
State: ~ ~ Zip Code: 8 1 2 ~ 0 - - - - -
Brief Description of R evision: a r~adi~ and h~drolo~ic control plan
Public Notice Attached: Yes X No - /Required for PRs and TRsI
Bond Increase: Yes No X Federal X Non-Federal Mine
Proposed Change in:
Disturbed Area (+/-) 0 0 0 O goes Affected Area (+/-) 0 0
Permit Area (+/-) 0 0 0 0 Acres Federal Land (+/-1 0 0
State Land (+/-) 0 0 0 0 Acres Private Land (+/-) 0 0
0 , 0 Acres
0 0 Acres
0 0 goes
m:lcoel\shara\(o rms\8865