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S''1NTE OF COLOR DO <br /> MINED LAND RECLAMATION DIVISION of C'0<o <br /> Oeoartment of Natural Resources HTr `ic <br /> 1313 Sherman St.. Room 215 * try <br /> Denver.CO 80203 <br /> 303 366.356 7 <br /> FAX: 303 832-8106 <br /> Ray 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 ne,:?scary, 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 114o.: C - 9 1 - 0 7 8 <br /> Date: 0 7 / 3 0 / 9 2 RECEIVED <br /> Permittee: L_ I L L Y L A N D S — I N C - RECEIVED <br /> i,J A <br /> - - - - - - - - - - - - - - - AUG 041992 <br /> Street: P . 0. — B O X 2 0 4 - - - - - <br /> - — — DIVISION OF <br /> — _ — — — — — -- — MINERALS C"A GEOLOGY `. <br /> City: R E D V A L E - - - - - - - - - s - - _ <br /> State: C 0 Zip Code: 8 1 4 3 1 _ - - - - <br /> Mine Name: H A M I L T O N — M I N E <br /> - - - - - - - <br /> Bri of Description of Revision: A D D — M I N I N G — A R E A — <br /> #3 — T 0 — P E R M I T <br /> — - - - - <br /> A R E A - - — ._ — — — — - - - — <br /> Public Notice Attached - Yes X No (Required for PR' s and TR's) <br /> Bond Increase• Yes X No Federal Non-Federal X Mine <br /> Proposes; Change in: <br /> of ctti rkbed Area (+/-) 1 9 0 0 Acres Affected Area (+/-) 1 9 0 .0 Acres <br /> Per'?li+ Brea f+/-) 5 2 0 0 Acres Federal Land (+/-) — — 0 Acres <br /> SwterLand (+;_) — — 0 Acres Private Land (+/-) 5 2 0 Acres <br /> 6185E (10/90) <br />