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iltdv or•rnno <br />FROM : Panasonic TAD/FAX <br />Street: <br />Brief Description of Revision: <br />Proposed Change in: <br />Disturbed Area ( + / -) <br />Permit Area ( + / -) <br />State Land (+/-) <br />,:c -cv-na , c.ai ?M , <br />PHONE X10. : 9454958 <br />STATE OF COLORADO <br />MINED LAND FIECLAMATION DIVISION <br />•Pinnwat of Nougat Resources <br />lsta Inman a1» R.onrit1 <br />• blev.►. 0o 50203 <br />303 061.3557 <br />' FAX: 30313:.5105 <br />Acres <br />Acres <br />Acres <br />- <br />a•o4a00 0vOcaa4v4v,e o <br />Dec. 20 1993 10:01AM P03 <br />• <br />TO COAT. <br />APPLICATION <br />INING AND RECLAMATION <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 1.0436) and permit revisions, as defined in Rule 1.04(20). All ' <br />revisions are to address the requirements of Rule 2.08.4. Three (3) copies of. <br />your revision including wipe 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 fi . <br />revision what section is being rev sed. nU Eouldib ld be p i p the <br />in the lower right corner of the r # res <br />visionrne revision date should <br />Contents should also be revised. pages. If necessary the Table of <br />approved, 7 copies Faust be sent to Nhen � final version of the revision is <br />OSN in Denver for Federal mines end for <br />non - Federal mines 1 cony rust be sent to OSN at 625 Silver Avenue, SW Suite <br />310, Albuquerque, New Mexico 8/102. The revision may not proceed until OSN <br />has been provided copies. Copies should be sent certified mail. <br />hermit No.: C - 8 1 -.0 LY <br />Date: ▪ 7 / la e /I:,.3.. <br />Permitter gill= £mime ttotsc <br />P.o. Box 1298 <br />011■11 =1111.1 <br />..ir ... a..•• .••• • •∎∎ — p <br />City: 21:1 C1-B ala <br />State: • 0 Zip Code: Ju <br />Nine <br />Ham: q01 Basin Mine <br />Cro vn con .-ro1 teas . — #ov..miiaa ah.'.,_,.,,, <br />Public Notice Attached = Yes No _.. (Required for PR's and IR'O' <br />Bond Increase: Yes No <br />Federal Non- Federal Nine <br />AfE°ected Area ( + / - ) <br />Federal Land ( + /-) <br />Private Land ( + / -) <br />00 .0, 9 000,. <br />Acres <br />Acres <br />Acres <br />