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iii iiiiiiiiiiiiiiii <br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Deparlmenl of Natural Resources <br />1913 Sherman St., Roam 215 <br />Denver. CO 80203 <br />303 866-3567 <br />Fn X: 303 832.6106 <br />" ~~pF~Cp~1' <br />MR 97 ~e~~~=8 <br />a J~®~• <br />• `~ <br />~ re 76 ~ <br />Hoy Roma. <br />Gwenror <br />. Fretl H. Barra, <br />APPLICATION FORM FOR A REVISION D~NS~on plrYlor <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 far 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 1n 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. When the final version of the revision is <br />approved, 1 copies must be sent to OSM in Denver for Federal mines and for <br />non-Federal mines 1 copy 1nJSt 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 - 80 _ - _0,0 7 <br />Date: _o ~ / 1 7 / 9 3 - AUG 19 1993 <br />Permittee: MOUNTAIN COAL COMPANY - - - - - - - r <br />- - - - - - - - Division al 4~~nt~„ _ ~ ..~..,,,,, ~. <br />- - - - - - - - - - - - - - - <br />Street: P.U. Box 591 <br />- - - - - - - - - - - - - - - <br />City: Somerset ---------------- <br />State: CU Zip Code: ~1~ ~q- - - ~ 5_91 - <br />MineName: ~~~~~----- _________ <br />Brief Description of Revision: Conh.tlcuc,tion o~canc~cete~gnave2 bunfzv~sy - - <br /> <br />Public Notice <br />Attached - <br />- Yes ------------ <br />No X (Required for PR's and ---- <br />TR's) <br />Bond Increase: Yes No X Federal x Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ 0_. 0 Acres <br />Permit Area (+/-) _ -_ 0_. 0 Acres <br />State land (+/-) 0 Acres <br />Affected Area (+/-) - - ~.~ Acres <br />Federal Land (+/-) - - ~ Acres <br />Private Land (+/-) - - ~ Acres <br />6185E (10/90) <br />