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STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />7373 Sherman St.. Room 275 <br />Denver, CO 80203 <br />303 866.3567 <br />F~x:303 632.8706 <br />'`~~'a <br />•\~~/~ <br />re~e <br />ib/ R<•ner. <br />Gnrmv <br />FrtW R. Banta. <br />APPLICATION FORM FOR A REVISION oiwion 0vector <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). All <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 1n 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 necessary, the Table of <br />Contents should also be revised. When the final version of the revision 1s <br />approved, 7 copies must be sent to OSM in Denver for Federal mines and for <br />non-Federal mines 1 copy mist be sent to OSM at 625 Sliver Avenue, SM, 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- g l- 0 3 8 <br />Date: o z/ i i/ 9 z <br />Permittee: CYPRUS ORCHARD VALLEY COAL CORPORATION <br />- - - - - - - - - - - - - - - <br />= E B 1 8 199i <br />- - - - - - - - - - - - - - - <br />Street: P.0. BOX 1299 _ _ _ _ _ _ _ _ _ _ ;viii^~i ~_anr~ <br />1720 4010 Road <br />--------------- <br />City: PAONIA <br />- - - - - - - - - - - - - - - - - - - - <br />State: CO _ Zip Code: 81428 _ _ _ - _ _ _ _ <br />Mine Name: ~CxptZ VA~j.EY EAST TII;~E _ _ _ _ _ _ _ _ _ _ _ _ <br />Brief Description of Revision: TEMPORARY SJASTE ROCK STORAGE AREA - - - - - <br />Public Notice Attached -Yes ~ No x (Required for PR's and TR's) <br />Bond Increase: Yes No x Federal X Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ o. <br />r o Acres <br />Permit Area (+/-) _ <br />_ p, p Acres <br />State Land (+/-) _ _ ~ i Acres <br />Affected Area (+/-) _ _ o, o Acres <br />Federal Land (+/-) o Acres <br />Private Land (+/-) _ _ o Acres <br />6185E (10/901 <br />