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REV105693
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REV105693
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Entry Properties
Last modified
8/25/2016 1:17:34 AM
Creation date
11/22/2007 1:28:15 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981028
IBM Index Class Name
Revision
Doc Date
2/16/1995
Doc Name
APPLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMATION PERMIT
Type & Sequence
MR27
Media Type
D
Archive
No
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h ~ ~ • ~ .,. 1 ~.~:• . ' ~'.~,t ~~: ~! ~ III IIII III <br />STATE OF COLORADO999 <br /> <br />DIVISION OF MINERALS AND GEOLOGY ~ t <br />Department of NaturalResourtes ~ Rr ~~of~ <br />1713 Sherman SI_ Itopn I I S (~-^C ~~/ ~~D ~c ~" ~ <br />rC(f V~ <br />tJenver, co eoio~ / 6 . ~„~~. <br />Pl,une: t3on eec-~sr.~ 1995 • r•,b <br />Fnx: oon e;z-atoe ~ivfs~ <br />TO AACOAL MI~;~NGFAND REtLAMATIONZPERMITon~/mrnera)SBGep%9yornh n'D'iK^r <br />This form must be completed and submitted with all requests for minor <br />revisions, as defined in Rule 1.04(13), technical revisions as defined in <br />Rule 1.04(136) 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 fs <br />approved, the federal operation i.s responsible for providing one copy to each <br />of the agencies noted on the Federal Agencies Mailing List. For non-Federal <br />mines, the operation is responsible for providing one copy to OSM in <br />Albuquerque (625 Silver Avenue, SW, Suite 310, New Mexico 87102). The <br />revision may not proceed until OSM has been provided copies. Copies should be <br />sent certified mail. <br />rermi t No.: C - ri 1- 0' 2 8 <br />Date: 0 2/ 1 5 / 9 5 <br />Permittee: C <br />- 0 <br />- 0 R <br />- - .:S <br />- - E N E R G Y C 0 <br />- - - - - - - - - <br /> <br />Street: - <br />P <br />- - <br />O <br />- - - <br />B 0 <br />- - - - <br />X <br />- - - - - - - - - - - <br />4 6 7 <br />- - - - - - - - - <br /> <br />City: - <br />G - <br />O L - - <br />D - - <br />E N - - - - - - - - - <br />______________ <br />State: C O Zip Code: 8 0 4 0 2- 0 4 6 7 <br />Mine Name: K E E N E S B L R G_ ii I N E_____ <br />Brief Description of Revision: D I S P O S A L _0 F_ _ T E S T <br />B U R N A S H <br />- - - - - - - - - - - - - - - - <br />- - - - - - - - - - - - - - - - <br />Public Notice Attached - Yes No XX (Required for PR's and TR's) <br />Bond Increase: Yes _ No XX Federal Non-Federal XX Mine <br />Proposed Change in: <br />Disturbed Area (+/-) Acres Affected Area (+/-) Acres <br />Permit Area (+/-) _ _ _ _ Acres Federal Land (+/-) _ Acres <br />State Land (+/-) _ _ _ Acres Private Land (+/-) _ Acres <br />6185E (01/93) <br />
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