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STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />t3t3 Sherman St., Room 275 <br />Denver. CO 80203 <br />303 866.3567 <br />Fax: 303 832.8106 <br />OF'~~[o <br />ti~ 9~ <br />~`~$ <br />. 'JZ <br />• `[y[ <br />~ re 76 ~ <br />Roy Fionwr. <br />GoHmor <br />FreE R. Banta. <br />APPLICATION FORM FOR A REVISION oivtswrt Direeror <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 for <br />non-Federal mines 1 copy mist 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 1- 0 1 8 <br />Date: o a/ l I/ 9 7 <br />Permittee: W ES TER N F <br />- - - - - U E L <br />- - - S- U T A H, <br />- s - - - - <br /> I N C _ _ _ <br />i _ _ _ _ _ _ _ <br />.__. <br />Street: 4 0 <br />-- 5 <br />U r b <br />------ a n <br />--- S t. <br />-'--- <br /> S 1~ i t e ,_~ 0 5_ _,____, <br />City: L a k e w o o d __ --_~~---__ <br />State: C 0 Zip Code: 8 0 2 2 8- ___ ,_ <br />Mine Name: D e s e r a d o_ M i n e_ y____ ,_ <br />Brief Description of Revision: R E V I S E D R E V E G A T A T I O N_ P L_A N <br /> F 0 R R E F U S E A R E A <br />Public Notice Attached - Yes No _~ (Required for PR's and TR's) <br />Bond Increase: Yes No x Federal x Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ o .o Acres Affected Area (+/_) o , o Acres <br />Permit Area (+/-) _ r 0 .o Acres Federal Land (+/-) _ _ ~ Acres <br />State Land (+/-) o Acres Private Land (+/-) o Acres <br />6185E (10/90) <br />