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• • III IIIIIIIIIIIII III <br />999 <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Rewurces <br />1317 Sherman 51., Room 21 S <br />Denver, Colorado 80203 <br />Phone: (7071 866.7567 <br />FA%:(3031832-8106 APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT <br />~~ <br />DEPARTMEN'T' OI <br />NATURAI <br />RESOURCE` <br />This form must be completed and submitted with all requests for minor revisions, as defined in Roy Romer <br />Rule 1.04173), technical revisions, as defined in Rule 1.04136), and permit revisions, as defined c°verrgr <br />in Rule 1.04(901. All revisions are to address the requirements of Rule 2.08.4. Three (3) copies lames 5. Lachhead <br />of the revision, including maps, must be submitted in order for it to be complete. t.ec°trveDvttt°r <br /> Michael B. LOng <br /> <br />All revisions are to be formatted so they can be inserted into the permit to replace the revised Division Dineetor <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 />(AFOI, 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 8 /0 9/ 9 5 <br />Perntittee: H O N E Y W O O D C O A L C O M P A N Y <br />- - - - - - - - - - - - - - - - - - - - - - - - - - - <br />H A M I L T O N M-I N E <br />- - - - - - - - - - - - - - - - - - - - - - - - - - - <br />Street: P_O__BOx_s8~___________~ECE~y€e <br />-----------------------AUG_y~ #995 <br />City: N U C L A---------------9iV --- <br />State: C O Zip Code: 8 1 4 2 4 - _ - - - - - - _ ~srDri-o),Mlnerals x Ueoioyy <br />Brief Description of Revision: R E V I S E _ W A T E R _ _ _ _ _ - - _ _ <br />M 0 N I T O R I N G_ P L A N______ <br />Public Notice Attached: Yes XX No _ (Required for PR's and TR's) <br />Bolld Increase: Yes _ No XX Federal XX Non-Federal _ Mine <br />Proposed Change iu: <br />Disturbed Arca (+/-) _ _ 0.0 Acres <br />Permit Area (+/-) _ _ 0.0 Acres <br />Affected Area (+/-) _ _ 0.0 Acres <br />Federal Laltd (+/-) _ _ 0.0 Acres <br />Stale Lantl (+/-) _ _ 0.0 Acres Private Land (+/-) _ _ 0.0 Acres <br />