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STATE OF COLORADO DIVl510N OF MINERALS AND GEOLOGY R~.CEIVED Department of Natural Resources 1313 Sherman SI., Room 215 ~ MAR ~ 9 1995 ~~~ Denver, Colorado 80203 Phone: (30718663567 FAX: II0J1872~8106 APPLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMATION PEF~IY~HRn ul minerais & Geol pARTMENT o NATURA] RESOURCE. ~ This form must be completed and submitted with all requests for minor revisions, as defined in Roy Romer Rule 1.04173), technical revisions, as defined in Rule 1.04(36), and permit revisions, as defined c°"ernor in Rule 1.041901. All revisions are to address the requirements of Rule 2.08.4. Three 13) copies lames s. i«nhead of the revision, includin0 maps, must be submitted in order for it to be complete. tXCU1Ve °1feCOr Michael B. long lJivis~on DIIM°r All revisions are to be formatted so they can be inserted into the permit to replace the revised sections, maps, tables andlor figures, with a revised table of coritents, 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 (AF01, and proof of submittal to AFO must be submitted to the Division prior to implementation of the revision. Permit No.: C- 8 1- 0 1 o Date: 0 3/ 0 3/ 9 5 Permittee: T R A P P E R M I N I N G_ I N C_ - - - - - - - - - - - - - - - Street: p o_ R o x_ 1 8 7__ __ - - - - - - - - - - - - - - - City: C R A I G_ State: ~° Zip Code: s I 6 z 6__ Brief Description of Revision: 1 9 9 4_ A N N U A L R E P O R T A P P E N D I X W Public Notice Attached: Yes x No , (Required for PRs and TRsI Bond Increase: Yes _ No ~{ Federal _ Non-Federal _ Mine Proposed Change in: Disturbed Area (+/-) _ _ ~ ~ Acres Affected Area (+/-) _ _ ~ ~ Acres Permit Area (+/-) - _ -D.. ~ Acres Federal Land (+/-) _ _ _ _ Acres State Land (+/-) _ _ _ _ Acres Private Land (+/-) _ _ _ _ Acres m: \co el\s h ere\fo rm s\8865