1991-09-26_REVISION - C1981035

• Permit No: C1981035
• IBM Index Class Name: Revision
• Doc Date: 9/26/1991
• Doc Name: Application
• From: National King Coal
• To: DMG
• Type & Sequence: TR3
• Media Type: D
• Archive: No

STATE OF COLORADO
MINED LAND RECLAMATION DIVISION of C04a
Department of Natural Resources
1313 Sherman St., Room 215 H� "�o
Denver,CO 80203
303 866 3567 .1876 x*
FAX [phone]
Roy Romer.
Governor
Fred R.Banta.
APPLICATION FORM FOR A REVISION Division Director
TO A COAL MINING AND RECLAMATION PERMIT
This form must be completed and submitted with all requests for minor
revisions , as defined in Rule 1 .04(73), technical revisions as defined in
Rule 1 .04(36) and permit revisions, as defined in Rule 1 .04(90) . All
revisions are to address the requirements of Rule 2.08.4. Three (3) copies of
your revision including maps must be submitted in order for it to be complete.
All revisions are to be formatted so they can be inserted into the permit to
replace the revised sections, maps , tables and/or figures. Explain in the
revision what section is being revised. The revision date should be printed
in the lower right corner of the revision pages. If necessary, the Table of
Contents should also be revised. When the final version of the revision is
approved, 7 copies must be sent to OSM in Denver for Federal mines and for
non-Federal mines 1 copy must be sent to OSM at 625 Silver Avenue, SW, Suite
310, Albuquerque, New Mexico 87102. The revision may not proceed until OSM
has been provided copies. Copies should be sent certified mail .
Permit No. : C - - 0 3 5
Date: 0 L/ a J_
Permittee:
Street: � �� � � � � n �� � � �
City:
State: L 4,L Zip Code: Q _2 - i
Mine Name: _ � _
Brief Description of R&vision:
Public Notice Attached - Yes No (Required for PR' s and TR's)
Bond Increase: Yes No Federal Non-Federal Mine
Proposed Change in:
Disturbed Area (+/-) Acres Affected Area (+/-) Acres
Permit Area (+/-) Acres Federal Land (+/-) Acres
State Land (+/-) � _ Acres Private Land (+/-) Acres
6185F (10/90)