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~ ~~ \ <br />`~ ~^ COLORADO DIVISION OT MINERALS AND GEOLOGY __ <br />.~~ ~, 1313 Sltcrman Strcct, Room 215, Dcnvcr, Colorado 80203, (303) 866-35G7 <br />~~ .~ ... III IIIIIIIIIIIIIIII <br />_-____-___..~_...._.....__._--•-°-,~--.........._.-.__.._._-...._ ........... ....... 999 <br />APPLICATION FORM FOR A REVISION Orl ~ 9 1997 <br />TO A COAL MINING AND RECLAMATION PERMIT <br /> <br />This form must be completed and submitted with all requests for minor revisions, as defined in Rule 1.04(73), <br />technical revisions, as defined in Rule 1.04(136), and permit revisions, as defined in Rule 1.04(90). All <br />revisions are to address [he requirements of Rule 2,0£3.4. Three (3) copies of the revision, including maps, <br />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 replace the revised sections, maps, <br />tables and/or figures, with a revised table of contents, if necessary. The revision submittal date should be <br />printed in the lower right corner of each revision page. A cover letter to the revision should explain the nature <br />of the revision and relerence the specific permit sections being revised. <br />For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing <br />list (except OSM) at the same time the application is submitted to the Division, and proof of distribution must <br />be submitted to the Division along with the application. Copies o) revision pages modilicd during the review <br />process must be distributed in the same manner, along with proof of distribution. Proof of distribution must <br />be submitted prior to implementation of the revision. <br />Permit No.: C - _~~ - 025 Date: _~(L ~?7 ,/~_ <br />Permittee: MINRFC. TNC. <br />Street: 2768 COMPASS DRTV ,QUIT ~ Ot <br />City: GRAND JUNCTION <br />State: ~~ Zip Code: 81506 - <br />Brief Description of Revision: rNCORPO am Gr RFA OWN RGr;TP Nap FOR TF,F <br />Public Notice Attached: Yes _ No ~ (Required for PR's and TR's) <br />Bond Increase: Yes _ No ~( Federal ~ Non-Federal _ Mine <br />Proposed Change in: <br />Disturbed Area (+/_) _ _ Q,Q Acres Affected Area (+/-) _ _ Q.Q Acres <br />Permit Area (+/_) _ _ Q.Q Acres Federal Land (+/-) _ _ Q,Q Acres <br />State•Land (+/_) _ _ Q_Q Acres Private Land (+/_) _ _ Q,Q Acres <br />