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<br />r <br />STATE OF COLOR-ADO <br />OF CQ~ <br />4: 4 <br />.t <br />~ /876 ~ <br />Roy Romer. <br />Gwenwr <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 />' Freo R. Banta. <br />APPLICATION FORM FOR A REVISION D~rtsian GirC!10r <br />TO A COAL MINING AND RECLAMATION PERM I7 <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 ma i7. <br />Permit No.: C- 8 2- 0 5 7 <br />Date: 0 4 / 1_6_/9_3_ RECEIVFn <br />Permtttee: P E g ~ Q Q ~, - ~! ~. ~..1. -F. ~. ~. APR 19 1993 <br />Street: 1. ~..!Z .IZ. - ~ ~. ~ ~. Ji - ~L ~. l -§;visfon o! ~~t~fte~a~;, a ~,,,uyy <br />City: ~.L.g.fi.S.l_~E_E_------ <br />- - - - - <br />State: A Z Zip Code: ~ ~ ~ 4 1 - - - - - <br />MineName: S E N E C A -11_ W---_,----_, <br />Brief Description of Revision: M O N I T O R I N G- P L~~ - <br />F O R -~ L I D E _, N E g,g-- <br />H R D A-&- P O N Q-QQQ,- <br />Public Notice Attached - Yes No X (Required for PR's and TR's) <br />Bond Increase: Yes Na X Federal X Non-Federal Mine <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />73t3 Sherman St., Room 215 <br />Denver. CO 80203 <br />303 866-3567 <br />Fa x: 303 832-8706 <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ 0, p Acres <br />Permit Area (+/-) - - ~,~ Acres <br />State Land (+/-) 0 Acres <br />6185E (10/90) <br />Affected Area (+/_) _ _ 0, 0 Acres <br />Federal Land (+/_) - - ~ Acres <br />Private Land (+/_) 0 Acres <br />