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• • III IIIIIIIIIIIIIIII <br />999 <br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br /> <br />D of ~o~ <br />epartment of Natural Resources ,~~~ '~ <br />c, <br />1373 Sherman St., Room 215 <br />Denver, C080203 ~ ~ ~~$ <br />•~ ^° ~~ <br />303 866-3567 '/e"!6' <br />FA%:303 632-6106 <br />Roy Rvner, <br />Goemor <br />- Frea R. Kama, <br />APPLICATION FORM FOR A REVISION Dins~on D~regw <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 necessary, the Table of <br />Contents should also be revised. Nhen the final version of the revision is <br />approved, 7 copies rtust be sent to OSM in Denver for Federal mines and for <br />non-Federal mines 1 copy mist 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 No.: C- s I- o I o <br />Date: o ~/ z 9 / 9-3 <br />-- -- -- t,, _. -. <br />Permittee: T R A P P E R M I N I N-+G <br />I N C _ _ i~~-~~` <br />Street: P O B O X- 1 8 7 <br />---------------:aUG ~.'99:i <br />--------------- <br />Clty: C R A I G - - - - - :L '.:.:.1 +i-1~~.+c..~r - <br />State: c o Zip Code:_ a I 6 z 6- ---- <br />Mine Name: T R A P P E R M I N E <br />Brief Desc ri ptioR Of RE V'I SiOR: T O P S O I L E X C L U S I O N <br />- - - - - - - - - - - - - - <br />A R E A S -I N- A S H M O R E - <br />P I T 1 9 9 3 <br />- - - - - - - - - - - - - - - - <br />Public Notice Attached -Yes No x (Required for PR's and TR's) <br />Bond Increase: Yes No x Federal X Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/_) _ _ o. o Acres Affected Area (+/_) _ _ o .o Acres <br />Permit Area (+/-) Acres Federal Land (+/_) Acres <br />State Land (+/-) <br />Acres private Land (+/-) <br />Acres <br />F1A~C ~7nianl <br />