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STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION aF ~o~ <br />Department of Natural Resources ,~~: -`' p~ <br />1313 Sherman St., Room 215 Ne 1$ <br />Denver. CO 80203 + <br />r + <br />303 866-3567 ~ ~re7e' <br />Fn X: 303 832-8106 <br />Roy Romer, <br />Governor <br />Fred R. Banta. <br />APPLICATION FORM FOR A REVISION Division olrr_tor <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 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 necessary, 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 - ~4 _ - 063 _ <br />Date: ~g_/ ~ _/ 93 <br /> <br />Permittee: RECEIVF.C <br />~~„t~de Coal Com~any,~ Inc_ _ _ _ _ _ <br />_P.0. Box 161 __________ SEP 71993 <br />Street: 3246 County Road <br />Division of 'vimerdi: a U~woyy <br />city: silt <br />-------------------- <br />State: CG Zip Code: 81652 - <br />Mine Name: Eastside Mine i - - - - - i <br />--.-.-.---------------- <br />Brief Description of Revision: _ R,gduction in subsidence monitoring from _ _ <br />_,gg_arter~ to semi-annuall,~,durin~c _ _ i _ <br />Public Notice Attached - Yes X No _ (Required for PR's and TR's) <br />Bond Increase: Yes No X Federal Non-Federal X Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ 0, <br />' p Acres <br />Permit Area (+/-) _ _ 0. 0 Acres <br />State Land (+/-) 0. 0 Acres <br />Affected Area (+/-) <br />Federal Land (+/-) <br />Private Land (+/-) <br />_ 0 .0 Acres <br />_ a_ 0..0 Acres <br />0 .0 Acres <br />6185E (10/90) <br />