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<br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />13t3 Sherman St.. Room 215 <br />Denver. CO 80203 <br />303 866-3561 <br />FA x: 303 832-8t06 <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 must 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 0 8 <br />Date: 0 5/ 2 4/ 9 1 <br />Permittee: P E A B O D Y C 0 A L C 0 <br />Street: 1 3 0 0 S O U T H Y A L E <br />- - - - - - - - - - - - - - - <br />pf'~Oy~ <br />~6i~v <br />~~i~~~g <br />-1~~8 ~ . <br />+rs~ <br />~lg76 <br />3 1gg'~ <br />- - - - - - - - - - - - - - - <br />City: F L A G S T A F F-______~~~nd <br />State: A Z Zip Code: 8 0 0 !)_ 1 - _ _ ~ 8eclamat(onD'~'S~an <br />Mine Name: _N _U _C _L_A________ _____ _ <br />Brief Description of Revision: R E V I S_ E_ _ P O S T M I N E_ <br />T O P O G R A P H Y <br />----------------- <br />- - - - - - - - - - - - - - - - <br />Public Notice Attached -Yes X No __ (Required far PR's and TR's) <br />Band Increase: Yes No X Federal Non-Federal X Mine <br />Roy Famer. <br />Gwamw <br />' Ergo R. 8an[a, <br />APPLICATION FORM FOR A REVISION D~~~s~orto+re~:or <br />TO A COAL MINING AND RECLAMATION PERMIT <br />CE~~~~ <br />SUN <br />Proposed Change in: <br />Disturbed Area (+/-) <br />Permit Area (+/-) <br />State Land (+/_} <br />,).p Acres <br />_ , 0.0 Acres <br />0 Acres <br />Affected Area (+/_} <br />Federal Land (+/-) <br />Private Land (+/_) <br />_ 0 . p Acres <br />0 Acres <br />0 Acres <br />6785E (10/90) <br />