Laserfiche WebLink
• • <br /> STATE OF COLORADO <br /> MINED LAND RECLAMATION DIVISION of-Co <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 <br /> Denver,CO 80203 *�* <br /> 303 866-3567 '1876` <br /> FAX: 303 832-8106 <br /> Roy Romer, <br /> Governor <br /> Fred R.Banta, <br /> APPLICATION FORM FOR A REVISION Division Director <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 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 - 9 1 - 0 7 8 <br /> Date: 1 1/ 0 4/ 9 3 <br /> Permittee: H 0 N E Y W 0 0 D _ C 0 A L _ C 0 M P A N Y _ _ _ _ _ _ <br /> - - - - - - - - - - - - - - <br /> - - - - - - - -Ptz <br /> Street: P _ O _ _ B 0 X _ 5 8 7 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br /> - - - - - - - - - - - - - - - - - - - - - - <br /> City: N U C L A - - - - - - - - - - - - - - ��' r? - - - � <br /> State: C O zip Code: 8 1 4 2 4 - _ _ _ - _ _ _ _c��r,rrC' -c - <br /> Mine Name: H A M I L T O N _ M I N E - - - - - - - - - - - - - - - <br /> Brief Description of Revision: A D D _ M A• P <br /> P E R M I T _ S O _ O R I G _ P I T <br /> I N F O _ I S _ A V A I L A B L E _ <br /> Public Notice Attached - Yes _ No XX (Required for PR's and TR's) <br /> Bond Increase: Yes _ No XX Federal _ Non-Federal XX Mine <br /> Proposed Change in: <br /> Disturbed Area (+/-) _ _ 0.0 Acres Affected Area (+/-) _ _ 0.0 Acres <br /> Permit Area (+/-) _ _ 0.0 Acres Federal Land (+/-) _ _ 0.0 Acres <br /> State Land (+/-) _ _ 0 Acres Private Land (+/-) _ _ 0 Acres <br /> 6185F ( 10/90) <br />