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re <br /> STATE OF COLORADO <br /> * * Roy Romer, Governor <br /> */876 r' � <br /> ,0 <br /> DEPARTMENT OF NATURAL RESOURCES 1�(Zj <br /> MINED LAND RECLAMATION DIVISION <br /> FRED R. BANTA, Director <br /> MINING PERMIT - COAL <br /> FIELD DECISION FORM <br /> MINOR REVISION <br /> The Mined Land Reclamation Division, Department of Natural Resources, State of <br /> Colorado, has issued approval for the below stated minor revision while on <br /> location in the field. <br /> Permit No. : Minor Revision No. : <br /> Revision Decision Type: AC <br /> Submittal , Completeness, Decision Date <br /> Revised Permit Status: (AC-active, TC-temporary cessation) <br /> Minel ' <br /> Permittee: <br /> Description of Revision: Sketch: <br /> Due date for submittal of revised application pages and maps: <br /> Submittal should include three copies of: <br /> Authorized Representative for Permittee Date <br /> Lead Reclamation Specialist Specialist Approving MP <br /> lIf this action pertains to a federal mine (coal or surface ownership) the <br /> permittee must send seven copies of the replacement pages and maps to the <br /> Office of Surface Mining, Western Field Office. If this pertains to a <br /> non-federal mine the permittee must send one copy of the replacement pages and <br /> maps to the Office of Surface Mining, Albuquerque Field Office. <br /> Doc. No. 4436F <br /> 423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203-2273 Tel. (303) 866-a567 <br />