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~~~ ' <br /> <br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION C- of ~o~ <br />Department of Natural Resources ~~LC f ~/~-L~ ~~~?' <br />~~ . ~a <br />1313 Sherman SI., Roam 215 q yy ~ ~.' R ~ <br />D03V 6r66O 5603 JUG 11 1JJy~ ~~ <br />FAX: 307 832-8106 role' <br />MR 127 Rv/Apnar. <br />0`1"~`~'r c' i1!Inr:ei5 o w.en,cr <br />4cu~C0 <br />y Fred A. 6anra. <br />APPLICATION FORM FOR A REVISION D~vlelOn Olre^rar <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 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 far <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 />Permit No.: C - 8~ _ - ~7_ _ <br />Date: 06 / Z$ _/ gy, _ <br />Permlttee: Mount~inS,,og1 Gnmpany._.. . . _ . - ._ <br />Street: P,O. Box~9~ _ _ _ _ _ _ _ _ _ _ <br />City: Somerset________ _________. <br />State: CO_ Zip Code: gly~4~~ _ - _ _ _ <br />Mine Name: West Elk Mine _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />Brief Description of Revision: Hyd;ay~i~C~p~nents~tarage 8uildiwg. Cens~rdetien <br /> <br />Public Notice Attached - <br />Yes - - - - - - - - - - - - <br />No ~_ (Required for PR's and - - - - <br />TR's) <br />Band Increase: Yes x No Federal ~ - Non-Federal Mine <br /> <br />Prooosed Change in: <br />Disturbed Area (+/-) _ p .0 Acres Affected Area (+/-) _ _ ~,~ Acres <br />Permit Area (+/-) _ _ p ,p Acres Federal Land (+/-) _ _ ~ Acres <br />State Land (+/-) _ _ p .Acres Private Land (+/-) _ _ ~ Acres <br />