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<br />• <br />STATE OF COLOMDO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St.. Room 215 <br />Denver, Colorado 00203 <br />Phone: (303) 2-8106 866-3567 <br />APPLICATION FORM FOR A REVISION 2 Q <br />FAX: (303) 032-810 DEPARTMENT C <br />TO A COAL MINING AND RECLAMATION PERM NATUP A. <br />(:e3.n yRESOURCE <br />This form must be completed and submitted with all requests for minor revisions, as defined in R ?o r <br />Rule 1.04(73), technical revisions, as defined in Rule 1.04(36), and permit revisions, as defined s. L«hheae <br />Executive Director <br />in Rule 1.04(90). All revisions are to address the requirements of Rule 2.08.4. Three (3) copies James <br />of the revision, including maps, must be .submitted in order for it to be complete. Michael 8. Long <br />Division Director <br />All revisions are to be formatted so they can be inserted into the permit to replace the revised <br />sections, maps, tables and/or figures, with a revised table of contents, if necessary. The revision <br />submittal date should be printed in the lower right corner of each revision page. A cover letter to the <br />revision should explain the nature of the revision and reference the specific permit sections being revised. <br />For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing <br />list at the same time the application is submitted to the Division, and proof of distribution must be submitted <br />to the Division along with the application. Copies of revision pages modified during the review process must <br />be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted <br />prior to implementation of the revision. For non-federal mines, a copy of the application for which the <br />Division has issued a proposed approval decision must be submitted to the OSM Albuquerque Field Office <br />(AFO), and proof of submittal to AFO must be submitted to the Division prior to implementation of the <br />revision. <br />Permit No.: C- 9 1- 0 7 8 Date: 0 9/ 2 8/ 9 4 <br />Permittee: H O N E Y W O O D _ C O A L_ C O M P A N Y _--__ <br />- - - <br />- - - - - - - <br />Street: P_g -- $ 0 - - <br />X_ - - - <br />5 8 7 - - - - - - - - - - <br />---------- <br />- - - - - - - - <br />------ <br />- - - - - <br />- - - - - - - <br />City: N U C L A - - - - <br />- - - - - <br />- - - --- - - <br />- - - - - - - - - - - - - - - - <br />State: C O Zip Code: 8 1 4 2 4 - _________ _____ <br />Brief Description of Revision: A D D R E S S_ M I D T E R M __ ---- <br /> R E V I E W- I S S U E S_ R A I S E D_ <br /> ]3 Y _ T H E_ D I V I S I O N_ --- _ -- <br />Public Notice Attached: Yes XX No - (Required for PR's and TR's) <br />Bond Increase: Yes _ No XX Fed eral XX Non-Federal _ 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 0.0 Acres Private Land 0.0 Acres