REV12526

• Permit No: C1981071
• IBM Index Class Name: Revision
• Doc Date: 9/19/1996
• Doc Name: APPLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMATION PERMIT
• Type & Sequence: MR85
• Media Type: D
• Archive: No

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STATE OF COLUI~AUU
DIVISION OF MINERALS AND GEOLOGY
Delsanmem of Natural Resources
177) Sherman $1.. Room 215
Denver. Colorado 80207
Phone: [phone]-lSEr7
FA%:13071872.8106
APPLICATION FORM FOR A REVISION ~•(' 19
TO A COAL MINING AND RECLAMATION PERMIT
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This form must be completed and submitted with all requests for minor revisions, as defined in Rov Rome.
Rule 1.04(731, technical revisions, as defined in Rule 1.0411361, and permit revisions, as defined ~O"""Of
in Rule 1.04190). All revisions are to address the requirements of Rule 2.08.4. Three (31 copies ramea s. Lochhead
E+recunve Dumor
of the revision, including maps, must be submitted in order for it to be complete.
MichaN B. LOrIL•
o+~l.~o~ ouectu,
All revisions are to be formatted so they can be inserted into the permit to replace the revised
sections, maps, tables and/or figures, with a revised table of contents, if necessary. The revision submittal
date should be printed in the lower right corner of each revision page. A cover letter to the revision should
explain the nature of the revision and reference the specific permit sections being revised.
For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing
list at the same time the application is submitted to the Division, and proof of distribution must be submitted
to the Division along with the application. Copies of revision pages modified during the review process must
be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted
prior to implementation of the revision. For non-federal mines, a copy of the application for which the
Division has issued a proposed approval decision must be submitted to the OSM Western Regional
Coordinating Center (1999 Broadway Blvd., Suite 3320, Denver, CO 80202-57331, and proof of submittal
to OSM must be submitted to the Division prior to implementation of the revision.
Permit No.: C- 8 1 0 7 1 Date: 0 9/ 1 2 / 9 6
Permittee: C O L O ~ A D O _~ ~_ I A p ~_
C O A L_ C O M P ~~_~___
Street: R O U T T _ C _Q U N T Y
R O A D _ # 2 7 _ _ _ _ _ _ _
City: O A K _ C R ~~ K ______
State: C O Zip Code: 8 ~ 4 ~ 7 - _ _ _
Brief Descri ption of Revision: 1994 MID-TERM REVIEW RESPONSE, TEXT
Public Notice Attached: Yes
CONSOLIDATION
No X (Required for PRs and TRs)
Bond Increase: Yes No X
Proposed Change in:
Disturbed Area (+/_) _ _ 0
Permit Area (+/_) _ _ 0
State Land (+/-)
Federal X Non-Federal _ Mine
~ Acres Affected Area (+/_) _ _ 0 0 Acres
~ Acres Federal Land (+/_) _ _ 0 0 Acres
0 0 Acres Private Land (+/.) _ _ 0 . ~ Acres
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