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STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />7313 Sherman St., Room 215 <br />Denver, CO 80203 <br />303 866-3567 <br />Fa x: 303 632-6106 <br />OF COQ <br />4~ . ~' <br />~~i~a <br />.\~~~~~/ <br />~ /H76 ~ <br />FN' Rariar, <br />Gavemor <br />Fretl R. Barra. <br />APPLICATION FORM FOR A REVISION D~wision Dire:tor <br />TO A COAL MINING AND RECLAMATION PERM I7 <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 requiremerKs 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 1n Denver for Federal mines and for <br />non-Federal mines 1 copy nest 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 />-.~.t, a <br />Permit No.: C- s 1- 0 1 0 "~~-•~)--~ ~ ~~ <br />Date: O s/ 3 0/ 9 1 <br />Permittee: T R A P P E R M I N I N G JUN 31991 <br />--------------- <br />I N c ____________ ~Jined~and <br />Street• P o s o x I 8 7 fleCiamatl0n L7IVISIOYi <br />City: C R A I G _______________ <br />State: c o Zip Code: s i 6 z 6-____ <br />Mine Name: T R A P P E R M I N E <br />Brief Description of Revision: R E L O C A T I O N _0 F T W O <br />T 0 P S 0 I L P I L E S I N~ H <br />P I T <br />Public Notice Attached - Yes r No x (Required for PR's and TR's) <br />Bond Increase: Yes No x Federal Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/_) _ _ s 4 Acres <br />Permit Area (+/_) o o Acres <br />State Land (+/_) Acres <br />6185E (10/90) <br />Affected Area (+/-) _ _ s 4 Acres <br />Federal Land (+/-) Acres <br />Private Land (+/_) Acres <br /> <br />