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Y <br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />t3t3 Sherman St.. Room 215 <br />Denver. CO 80203 <br />303 8fi 6.3567 <br />Fnx~303 832-8706 <br />qoy ftWnM. <br />Gavamor <br />' Frye R. Banta. <br />APPLICATION FORM FOR A REYISION D~~~s~on 0~rector <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), 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 />All revisions are to be formatted so they cart 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 far <br />non-Federal mines 1 copy Host 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- 8 2- 0 5 6 <br />Date: 0 5/ 0 3/~ 1 <br />Permittee: T yy E~ L~~ 1 1~- C O A L <br />,- r .. i ~` <br />Street: z 9 5 ~ ~,-BQYS~---- <br />c o u N r ~,_~,Q~~-z~9Y X1991 <br />City: O A K _ Cg~~JL_--_-ibfineekL~ane}--- <br />State: C O. Zip Code: ~ ~ ~ L L - _~lamaii0n Division <br />Mine Name: FO I 0 ~~~~S~~1L._.~LbL.E-__ <br />Brief Description of Revision: F I E L D_ rt x - pl ~~, - - - - _ - <br />D I T C H- R E L O CAT I O N ---~- <br />Public Notice Attached -Yes No x (Required for PR's and TR's) <br />Bond Increase: Yes No x Federal Non-Federal Mine <br />Proposed Change in: <br />pF COQ <br />~'a 9 <br />s <br />e- <br />~~' i8 <br />.`~~~j. <br />lea' <br />Disturbed Area (+/_) - la-,_ Acres Affected Area (+/-) _ ~~,- Acres <br />Permit A.~ea (+/_) -N/n - - Acres Federal Land (+/_) - NL - Acres <br /> <br />llw wwn nrt ..-iw 1 ~wJ /i/ \ <br />A..ran <br />