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-----........~ JRN-29-' 93 16:12 I D: CO MINED LRND REC' L TEL N0:393-832-6166 <br />STATE OF <br />III IIIIIIIIIIIIiIII <br />sss <br />DIVISION OF MINERALS AND GEOLOGY <br />pepadment o(Nawral Resources , <br />17 iJ Sherman 51., Room 2I S L•` <br />. \~ <br />Donvar, CO 80201 ~ <br />Phom: (3071 e66.3667 <br />FAx: (707+832.8106 - <br />APPLICATION FORM FORA REVISION m'M Rnrner <br />TO A COAL MINING AND RECLAMATION PERMIT c°"`"'°r <br />M+(heel B. Lang <br />DNI[lon DIlCCI°r <br />This form must he completed and submitted N1th all requests far minor <br />revisions, as defined to Rule 1.04(73), technical revisions as defined in <br />Rule 1.04(136) and permit revlslons, as defined in Rule 1.04(903. All <br />revisions are to address the requirements of Aule 2.08.4. Three (3) copies of <br />your revlsion~lncluding 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 1'n the <br />revision what section is befog 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 float version of the revtslon is <br />approved, the Federal operation 1s responsible for provfdll,q one Copy to each <br />of the agencies noted on tho Federal Agencies Mailing List. For non-Federal <br />mines, the operation fs responsible for providing one copy to OSM in <br />Albuquerque (625 silver Avenue, SW; Suite 310, New Mexico 87102). The <br />revtslon may not proceed until OSM has been provided copies. Copies should be <br />sent certified mall. <br />Permit No.: C - ~",(j' , - O 7 Y <br />Date: _ ~.i - `,i,/ ~ 3 <br />Permtttee: I{~t_uRocK Cea~ r^e.-.P+~y - .... - - <br />Street: /iSb 17'x' S`r _-~urr~3 ?So <br />--~^- <br />Cf'ty: ~R~vt~!Q,~Co <br />State: C7~o Zip Code: 817 }_o ~ - <br />Mine Name: _~~uRo~a`Ceac~ ~i.~e+ _ _-_^_- - 'T-~ _ _ <br />Brief Description of Revision: lS7scoNrru_ur3 l~I(Jarxk //llaut7o/~llJf3~L_. <br />• -s~,,.,_~[r.U¢'. /Lr,u1NLr Yt~ /I~T T~TSRCGPT <br />-OR 1~15>'I~RS /Qa7~ /1'QstTFfig ,. - r - <br />Public Notice Attachfld.- Yes ~ No _ (Required for PR's and TR's> <br />Bond Increase: Yes _ No ~, Federdt !, Non-Federal _,~, Mine <br />Proposed Change in: //~ <br />Disturbed Area (+/-) ~ _ - - Acres Affected Area c+/-) - ~, _,.~ Acres <br />Permit Area (+/-> ~ _,,, - - Acres Federal Land (+/-) - ^ _ ! Acres <br />_.. .... State Land' (+/-) - _ ~, Acres Private Land (+/-) - - , Acres <br />6185E (01/43) <br />