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~~. • .. iii iiiiiiiiiiiu iii <br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />OF COQ <br />Department of Natural Resources ,~~.'_-;~t_yy <br />t3t3 Sherman St.. Room 275 „~i ,~1$ <br />Denver, CO 80203 ~~^y' <br />303 866-3567 ~ ~r87b. <br />FA x: 303 832.8706 <br />Roy Romer. <br />Governor <br />FrOd R. Kama. <br />APPLICATION FORM FOR A REVISION Omsion oeeROr <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). A71 <br />revisions are to address the requirements of Rule 2.08.4. Three (3) copies of <br />your revision including 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 necessa ry, 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 OSM in Denver for Federal mines and for <br />non-Federal mines 1 copy must be sent to OSM at 625 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- 8 1- 0 1 9 <br />Date: I 2/ 0 9/ 9 2 <br />Permittee: c <br />- o <br />- L o w Y <br />---- o <br />- - c o a l- c <br />------- o EG~,OV~~` <br />-R <br />Street: s ~ 3 i s T A T E _ <br />~ _ <br />DEC 1 11992 <br />H I G H W A Y 1 3 <br />City: M E E K E R _ _ _ <br />_ _ _ _.(]i:il~~ty~''~' r <br />State: c o Zi p Code : 8 _ <br />i 6 4 i -, - _ M1N~Ar+1-S ~ ~`E~`~ "~ <br />Mine Name: c <br />- o <br />- L o w Y <br />- - - - o <br />- <br />- - - - - - - <br />- - - - - - <br />Brief Descripti on of Revision: N E w- U P P E R- _G o 0 0- <br /> S P R I N G <br />- -- - --. C R E E K <br />- -. - - - - r. -- <br /> I N F O R M A T I O N <br />Public Notice Atta ched -Yes No x (Required far PR's and TR's) <br />Bond Increase: Yes No x Federal Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ _ _ Acres <br />Permit Area (+/-) Acres <br />State Land (+/-) Acres <br />Affected Area (+/-) Acres <br />Federal Land (+/-) - - - Acres <br />Private Land (+/-) Acres <br />6185E (10/90) <br />