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<br />STATE OF COLORADO' <br />MINED LAND RECLAMATION DIVISION - oF:CO~o <br />Department of Natural Resources M! -~t~$ <br />1373 Sherman St.. Room 215 ~~QQQ~Q= <br />Denver. CO 170203 •~~R. <br />303 866.3567 ~ ~1g76~ <br />Fax: 303 832-8706 <br />Rq Ramer. <br />Gowrtior <br />' Frxl R. 8arrta. <br />APPLICATION FORM FOR A REVISION oivision0ireetor <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). AT1 <br />revisions are to address the requirements of Rule 2.08.4. firee (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 i - o > 9 _ per„ <br />Date: ,i o/ 1 s_/ 9 5 c~t~FD Y <br />Permittee: coLOwYO COAL co L.. ~'I2p/g95 <br />- - - ~ig~~n uJ ; <br />Street: 5 7 3 1 STATE HIGHWAY 1 3_~~~aueolpgy <br />Clty: M E EKE R ~ _ ~ _ ~ ~ _ ~ _ ~ _ i _ _ _ _, <br />State: c o Zip Code: 8 1 6 4 1 ,- <br />MineName: COLOWYO <br />Brief Description of Revision: E X P L O R A T I O N __ ,_ _ r ~, _ ~, <br />D R I L L I N G <br />Public Notice Attached - Yes <br />~ No x (Required for PR's and TR' s) <br />Bond Increase: Yes x No Federal Non-Federal x Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ i. o Acres <br />Permit Area (+/-) Acres <br />State Land (+/-) Acres <br />Affected Area (+/-) _ _ _ Acres <br />Federal Land (+/_) _ _ ~ Acres <br />Private Land (+/_) Acres <br />