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<br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION oF.~o~ <br />Depanmant of NaWral Resources ~ ~`~.~~*~ <br />X18 <br />1313 Sharman St., Room 275 <br />Denver. CO 80203 '.~7~~~ <br />303 86y•3567 • rel~e <br />F~%: 30 832.8106 <br />Rol' Romer, <br />(ioremor <br />FreC R. Banra. <br />APPLICATION FORM FOR A REYISION o~~~nare~mr <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), technlca] 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- £i l - 0 4 4 <br />Date: ~ 5/ 0 3 / 9 1 <br />Permlttee: - ~,pRUS EMPIRE CORPORATION - - - - _ <br />-------------_-- RECEIVEC~ <br />Street: - P BOX 68 --------- <br />,---_ ---------- MAY 61991 <br />City : - .~R9.L0- - _. - - - - - - - - - - _MinedJ_and <br />State: ~p Zip Code: 81626- - - - _ ,_ - _Reclamation Division <br />Mine Name: --~a~l,e~,'ngs--------------- <br />Brief Description of Revision: Development Mining Under - - - - - - - <br />structures and renewable <br />-...-------------- <br />resource land ----------- <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 1n: <br />Disturbed Area (+/-) _ _ o ._ Acres Affected Area (+/=) _ _ 0 ,_ Acres <br />Permit Area (+/-) - - ~,- Acres Federal Land (+/-) - - 0 Acres <br />State Land (+/-) 0 Acres Private Land (+/-) 0 Acres <br />6185E (10/90) <br />