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STATE OF COLORA <br />MINED LAND RECLAMATION DIVISION <br />Oapartmant Ol Natural Rasaurces ti~~F~c~O~ <br />~V~,~ <br />17 t 7 Sherman Sl.. Room 2 i 5 ~ Q t l~ <br />Oanvar, CO 60207 (~ V A' <br />JO7 tl66.7567 ~ '.t"'~' <br />FwX: 707 872.6106 ~ `"b <br />• ~' Rpn+r, <br />( rio..nnr <br />" FEW R. 9ir4i <br />APPLICATION FORM FOR A REYISION o~ara<,« <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This form must be completed and submitted with all requests far minor <br />revisions, as defined in Rule 1.04(73), technical revisions as defined in <br />Rule 7.04(36) and permit revisions, as defined in Rule 1.04(90). All <br />revisions are to address the requirements of Rute 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 Oenver far 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 Mezico 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 4 4 <br />Oate: _05_/ 26 _/ 94 ._ <br />Permittee: ~~ P R U S- E M P I R E C O R P O R A T I O N <br />Street: P O B O X 6 8 ~' ~-~1`l-r, <br />----------------lUr,' S 1994 <br />City: C R A I 6------_- --_-,- <br />State: C 0 Zip Code: 8 1 6 2 6-_ _~~~+~::~~~~~,,,,.,,,;,,,,, <br />_ _ _ _ _ _ _ ...:~~u;oy <br />Mine Name: C Y P R U S E M P I R E_ E. A G L E y M I' N E S <br />Brief Description of Revision: S T I .P U L-A T I 0 N_ #_ 7- <br />M A T E R I A L S <br />Public Notice Attardted -Yes No X~ (Required for PR's and TR's) <br />Bond Increase: Yes X No Federal X Non-Federal Hine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ _. 0 Acres Affected Area (+/-) _ _ _._0 Acres <br />Permit Area (+/-) - _ - , 0 Acres Federal Land (+/-) - _ 0 Acres <br />State Land (+/-) 0 Acres Private Land (+/-) 0 Acres <br />6185E (10/90) <br />