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<br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY RE ~. <br />Department a(Nafural Resources CCE~V[ ° <br />1)13 Sherman 51., Room 31 S J(/( `D <br />Denver, Colorado 80303 ` ~V 1995 <br />Phone: I30118h6•J5h7 <br />FA%:130]18]3-8106 APPLICATION FORM FOR A REVISIO~Ivigipn <br />TO A COAL MINING AND RECLAMATION PERMI~i~inerais& GepipgyNATURAL <br />RESOURCE <br />This form must be completed and submitted with all requests for minor revisions, as defined in Ror Rnrrkv <br />Rule 1.04(73), technical revisions, as defined in Rule 1.041361, and permit revisions, as defined cO`c'"Or <br />in Rule 1.04(901. All revisions are to address the requirements of Rule 2.08.4. Three (31 copies l,rnes s. L«hhead <br />of the revision, including maps, must be submitted in order for it to be complete. Laaurise Director <br />Michael B. Lmg <br />Oivition Olrect« <br />All revisions are to be formatted so they can be inserted into the permit to replace the revised <br />sections, maps, tables and/or figures, v~ith a revised table of contents, if necessary. The revision <br />submittal date should be printed in the lower right corner of each revision page. A cover letter to the <br />revision should explain the nature of the revision and reference the specific permit sections being revised. <br />For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing <br />list at the same time the application is submitted to the Division, and proof of distribution must be submitted <br />to the Division along with the application. Copies of revision pages modified during the review process must <br />be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted <br />prior to implementation of the revision. For non-federal mines, a copy of the application for which the <br />Division has issued a proposed approval decision must be submitted to the OSM Albuquerque Field Office <br />(AF01, and proof of submittal to AFO must be submitted to the Division prior to implementation of the <br />revision. <br />Pcrntit No.: C- 8 1- 0 4 7 Date: 0 7 /2 6/ 9 5 <br />Perntittee: M I N R E C l_ I N C_ <br />- - - - - - - - - - - - - - - <br />B L U E R I B B O N M I N E <br />- - - - - - - - - - - - - - - - - - - - - - - - - - - <br />Strect: 2 7 6 8_COMPAS S_ D R I V E L_S T E_ 1 0 1_ <br />City: GRAND JUNCT ION <br />- - - - - - - - - - - - - - - - - - - - - - - - - - - - <br />Statc: C O Zip Code: 8 1 5 0 6 - _ _ _ _ _ _ _ _ _ _ '_ _ _ _ <br />Brief Description of Revision: A D D R E S S_ M I D_ T E R M______ <br />R E V I E W I S S U E S <br />- - - - - - - - - - - - - - - - - - - - - <br />Public Notice Attached: Yes xX No _ (Required for PR's and TR's) <br />Bottd Iltcrease: Yes _ No xx Federal xX Non-Federal _ Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ 0:0 Acres <br />Permit Area (+/-) _ _ 0.0 Acres <br />Affected Area (+/-) _ _ 0.0 Acres <br />Federal Land (+/-) _ _ 0.0 Acres <br />State Lattd (+/-) _ _ 0.0 Acres Private Land (+/-) _ _ 0.0 Acres <br />