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.• <br />_ STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION of oo~ <br />Department of Natural Resources ,~~:~ ~ ~~ <br />1313 Sherman SI., Room 215 '~~~~~$ <br />Denver. CO 80203 • ~~ <br />303 866.3567 ~ ' ' <br />• re 76 <br />Fa%: 303 832-Bt06 <br />Roy Fion~er. <br />Gouwrv <br />FreC R. Banta <br />APPLICATION FORM FOR A REYISION DM>:onoirrr« <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 1n <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 mist 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 1- 0 3 3 <br />Date: 0 6/ 1 0/ 9 3 <br />Permittee: BEAR-CQAL_COMPANY_ <br /> -----------------RE£EI~tEfl------ <br />Street: P O B O X 5 1 8 <br />------------- <br /> ---- --------- ----,1.UAl.]4~.9~------ <br />City: S O M E R S E T <br /> <br />State: <br />C O Zip _____ <br />Code: 8 1 4 3 4 __ _ _ ____ <br />- -Division of Minerals ~ C;eoioyy - <br /> <br />MineName: <br />BEAR <br />-NO_-1_2_ - - - <br />6_3_M INE S--____ <br />Brief Descr iption of Revision: R E V I S E D E S I G N O F <br />S E D I M F, N T_ p O N D---_- <br />N O V_ C~ 9 3_ 0 7 5 <br />Public Notice Attached - Yes ~ No _, (Required for PR's and TR's) <br />Bond Increase: Yes No XX <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ 0.0 Acres <br />Permit Area (+/-) _ _ 0.0 Acres <br />State Land (+/-) _ _ 0 Acres <br />Federal XX Non-Federal _ Mine <br />Affected Area (+/-) _ _ 0.0 Acres <br />Federal Land (+/-) _ _ 0.0 Acres <br />Private Land (+/-) _ _ 0 Acres <br />6185F (10/90) <br />