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~,~~~,~'~AATE~OF COLORADO <br />MINED LAND RECLAMATION DIVISION DEB ~ 3 1995 ~ of ~o~ <br />Department of Natural Resources a`" ~~ <br />„%~$ <br />7313 Sherman St.. Room 275 ~ g ~ <br />DenvecC090203 ~~~ <br />303 866-3567 Oivis. ~ 07 ~Ninerals 8 Geology ~ ~,B,e <br />Fn X: 303 832-8706 ~ _ <br />Aoy Basra; <br />Govemar <br />' Frad q. eanra, <br />APPLICATION FORM FOR A REVISION Division Dins:tor <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 />A11 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 must be sent to OSM at 625 Silver Avenue, SW, Suite <br />310, Albuquerque, New Mezico 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 1 8 <br />Date: 0 2/ o i/ g s <br />Permittee: W E_S TER N F U E L S- U T A H, <br />I N C --------,`--- <br />Street: 4 0 5 U r b a n S t. - <br />---------------- <br />~~ i t e -,~ 0 5,_----- <br />City: L a k e w o o d-~---------- <br />State: C O Zip Code: 8 0 2 2 8- -- _, - <br />Mine Name: D e s e r a d o- M i n e--_,---- <br />Brief Description of Revision: i N s T a L L _, i z ,~ i N c tt - <br />C U L V E R T A T R P - 5 A <br />E N T R A N C E -------- <br />Public Notice Attached -Yes ~ No x (Required for PR's and TR's) <br />Bond Increase: Yes No Federal x Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) - - o .o Acres Affected Area (+/-) - - o .o Acres <br />Permit Area (+/-) _ _ o .o Acres Federal Land (+/_) _ _ p Acres <br />State Land (+/-) _ 4 ~ Acres Private Land (+/_) - - ~ Acres <br />6185E (10/90) <br />