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<br />STATE OF COLORADO <br />• DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Rewurces <br />1317 Sherman 51., Room 215 <br />Denver, CO 80207 <br />Phone: I103186fi~35fi7 <br />FA%:17071 83_'~810h <br /> <br />of pept~o <br />Ne~.~ <br />~~~ <br />,•va d~• <br />/B )6' <br />APPLICATION FORM FOR A REVISION Ruy Romer <br />TO A COAL MINING AND RECLAMATION PERMIT ~'°°e'°°` <br />• nhr h: el B. Long <br />Divis iim Dear m. <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(136) 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, the Federal operation is responsible for providing one copy to each <br />of the agencies noted on the Federal Agencies Mailing List. For non-Federal <br />mines, the operation is responsible for providing one copy to OSM in <br />Albuquerque (625 Silver Avenue, SW, Suite 310, New Mexico 87102). The <br />revision may not proceed until OSM has been provided copies. Copies should be <br />• sent certified mail. <br />Permit No.: C- 8 I- 0 2 8 <br />Date: 0 1/ 2 "8/ 9 4 <br />Permittee: C 0 O R ..S E N E R G Y C 0 <br />Street: P O B O X 4 6 7 <br />- - - - - - - - - - - - - - - <br />RFrEIV~p <br />--------------- ~Ef311 1994 <br />City: G O L D E N _____ ____ _ <br />State: C 0 Zip Code: 8 0 4 0 _2 `0 4 6 7 -~IVISiono~py~neidlSC,~CDicyy <br />Mine Name: K E E N E S B l! R G tt i N E <br />- - - - - - - - - - - - - - - - - - - - <br />Brief Description of Revision: M I N 0 R R E V I S I 0 N-- <br />F 0 R P E R M I T D F <br />F E C T <br />- - - - - - - - - - - - - - - - <br />Public Notice Attached - Yes No X (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 (+/-) - ~ - - Acres Affected Area (+/-) - 0 - - Acres <br />Permit Area (+/-) _ 0 _ _ Acres Federal Land (+/-) 0 _ Acres <br />State Land (+/-) _ 0 Acres Private Land (+/-) _ _ 0 Acres <br />6185E (01/93) - <br />,.. ~ <br />