REV100181

• Permit No: C1984065
• IBM Index Class Name: Revision
• Doc Date: 8/7/1995
• Doc Name: COAL RIDGE 1 MINE TR APPLICATION BOND RELEASE ISSUES PERMIT C-84-065
• From: J E STOVER & ASSOCIATES
• To: DMG
• Type & Sequence: TR12
• Media Type: D
• Archive: No

STATE OF
DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources
1713 Sherman 5t., Room 215
Denver, Colorado 8020)
Phone: [phone]
~rrGlVrc.D
Huu 0 7 1995
DEPA2TMENT OF
NATURAL
RESOURCE
FA%:0071812-8106 APPLICATION FORM FOR A REVISION als g Geology
TO A COAL MINING AND RECLAMATIQ,(`14P,ERNtii~
This form must be completed and submitted with all requests for minor revisions, as defined in Roy Romer
Rule 1.04(73), technical revisions, as defined in Rule 1.04(361, and permit revisions, as defined cO~Tr^°r
in Rule 1.04(901. All revisions are to address the requirements of Rule 2.08.4. Three (31 copies I+nms s. Lochhead
of the revision, including maps, must be submitted in order for it to be complete. L."uUVe Dire"°`
Michael D. Long

All revisions are to be formatted so they can be inserted into the permit to replace the revised Division Dlredor
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
(AFOI, and proof of submittal to AFO must be submitted to the Division prior to implementation of the
revision.
Permit No.: C- 8 4- 0 6 5 Date: 0 8 /0 4/ 9 5
Perntittee: N C I G_ F I N A N C I AL,-,_ I N C ________
C O A L_ R I D G E "N 0 1 M I N E______
Street: 2 7 6 8 _C OM P A S S _D R I V E __________
S U I T E _ 1 0 1 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
City: G R A N D _ J U N C T I O N _ _ _ _ _ _ _ _ _ _ _ _ _ _
State: C O Zip Code: 8 1 5 0 6- __ "
Brief Description of Revision: A D D R E S S_ P H A S E_ I______
B O N D_ R E L E A S E_ I S S U E S__
Public Notice Attached: Yes XX No _ (Required for PR's nncl TR;r)
Bottd Increase: Yes -_ No XX Federal _ Nou-Federal XX Mine
Proposed Change in:
Disturbed Arca (+/-) _ _ 0.0 Acres Affected Area (+/-) _ _ 0.0 Acres
Permit Area (+/-) _ _ 0.0 Acres Federal Land (+/-) _ _ 0.0 Acres
State Laltd (+/-) _ _ 0.0 Acres Private Laud (+/-) _ _ 0.0 Acres