REV105823

• Permit No: C1981012
• IBM Index Class Name: Revision
• Doc Date: 3/3/1994
• Doc Name: APPLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMATION PERMIT
• Type & Sequence: MR62
• Media Type: D
• Archive: No

iii iiiiiiiiiiiii iii
STATE OF COLORADO
• ;^ ~ : /• Roy Romer, Governor
• , ~~
~"1 ,~'•
DEPARTMENT OF NATURAL RE50UACES '~
MINED LAYND RECLAMATION DIVISION '+'~,~~~'
~~t:o R ureTA, ow.ewt ' r' • ~' 1 f '•,
APPLICATION FORK FOR A REY ISIOM
TD J1 COAL MINING AND RECLAf1ATI0N PERMIT
This form wust be completed and submitted Wth all requests for minor rerislons, as define:
in Rule 1,04n3), technical recisions as defined in Rule 1,04(36) and pertit revisions. as
defined in Rule 1,04(90), All revisions are to address the requirements of Rule 2.D8.4.
Three copies of your revision including maps must De submitted in order for it to De eo:nplete.
All revisions are to be foroatted so they can be inserted into the permit to replace the
reviseC sections, maps, tables and/or figures. Explain in the recision what section is Dein;
revised. The revision date should be printed in Ue lower right corner of the reviiion
gages. If necessary, the Table of Contents should also be revised, rAhen the final version
of :he revision ii approved, 1 COpieS must be slot to OSM in Denver for Federal mines any `:'
non-Federal mines 1 copy must be selrc to OSM at 625 Silver Avenue, SW, Suite 310,
Albuquerque, Hew fdexico 87102. The revision tnay not proceed anti) OSM has been provi;ed
copies. Copies should De sent certified mail,
Date: _ L/ / / / ~
permittee: t3~ S L ,U- i~~Sc~u2C~ s
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C ~ i994
city: (,IJ~STDiu ---------- ~ ~ ,. .~.. .. ,.. .
State: ~ O -Zip Code: ~
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?ermit fro.: C - 6 1 - _O t _Z
Ffine name: N~ Gc~-~ 1 r~_
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r is ox o e t a to y e trtston:
Type of Revision: jLJ ~ (PR, TR, or Mt)
Revision !lumber; _ ... (Sequential DY Recision Type)
Rev. Submittal Daie: - -/ -/ - (Date Received Dy Di vision)
Rev, Completeness Oate: / / Rer, Incompleteness Oate:
-------- - /- /
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Rev, Adequacy Oue Oate: / _/ Rer, Adequacy Date: /_ /
Rev. Decision Due Date: _/ / _ Lead Reclamation Specialist:
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rte escrtp ton o evtston: „_f- C- i ~ c, STo
L~~D
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Public Motice Attached -Yes -po -'~gbTre
a ~r'>1R s and
TR s )
_
Bond Increase: Yes ito
~eral )Jon-Federal !+ ine
Proposed Change in: ---- '~
i sturbed Area (+/-) Acres Affected Area (+/-)
~ Acres
rermit Area (+/-)
-'~' -
`
Acres Federal land (+/-) `
`
`
`
. Acres
_
_
_
_
_
State Land (+/-) -
Acres Prlrate Land (+/-) Acres
6185E (Rev. 10/88) - - - ` ` -
2 t 5 Centennial BUiltliny, 13t3 Srtennan Street Denver, Golorada80?03•??73 Te1. 1303) 9663567
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