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DEPARTMENT OF NATURAL RESOURCES <br />Davia ri. Getcnes. Executive Director <br />MINED LAND RECLAMATION DI\ <br />DAVID C. SHELTON, Diroetor <br />A¢hara D. Lamm <br />Governor <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING ANO RECLAMATION PERMIT <br />This form must be completed and submitted with all requests for minor revisions, as <br />defined in Rule 7.04173), technical revisions as defined in Pule 1.04(36) and permit <br />revisions, as defined in Rule 1.04(90). A11 revisions are to address the requirements <br />of Rut a 2.08.4. <br />All revisions are to be formatted so they can be inserted into the permit to replace the <br />revised sections, maps, tables and/or figures. Explain in the revision what section is <br />being revised. The revision date should be printed in the lower right corner of the <br />revision pages. If necessary, the Table of Contents should also be revised. <br />Date: _ / _ _/ <br />Permittee: Empire Enema Cor~oration_ _ _ _ _ _ <br />- - - - - - - - - - - - - - - <br />Street: P.O. Box 68 <br />- - - - - - - - - - - - - - - <br />City: CraiL-------------- <br />- - - <br />~State: CO_ Zip Code: ~~~ _ _ - _ _ _ <br />Permi t No.: C- g 1- 0~ ,~ <br />This box to be filled in by the Division: <br />Type of Revision: _ _ (PR, TR, or MR) <br />Revision Number _ _ (Sequential by Revision Type) <br />Revision Submittal Date _/_/ (Date Received by Division) <br />Pevision Completeness Date _/ /_ Revision Incompleteness Date _/_/ <br />Revision Adequacy Due Date _/ ./_ Revision Adequacy Date _/_/_ <br />Revision Decision Due Date / / Fee 50:00 <br />Brief Description of Revision: Conduct underground minin~c operations at _ <br />the_No. 6 Mine S"E_ Coal Seam L _ _ _ _ _ _ <br />Public Notice Attached - Yes X No (Required for PR's and TR's) <br />Bond Increase: Yes _ No X <br />Proposed Change in: <br />Disturbed Area (+/_) _ _ ~,_ Acres Affected Area (+/-) _-2780 <br />~ermit Area (+/-) - +1443 ._ Acres Federal Land (+/-) _ ±330 <br />State Land (+/-) - +150 Acres Private Land (+/-) _ +96~ <br />Lead Reclamation Specialist Gre~cg Squire <br />Acres <br />Acres <br />Acres <br />6185E <br />423 Centennial Building, 7313 Sherman Street Denver, Colorado 80203 Tel. X303) 866-3567 <br />