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~ ST.~TE OF COLORADO <br />MINED LAND A1=:.LAMA7IC~N DIVISION <br />Deoanmant of Natural resources <br />'777 Sherman SI.. 4oom 715 <br />Denver. C.^. 60207 <br />305 360•:56. <br />~.ax: 303 832.3:08 <br />.~F~O`y^ <br />tr; \7Y <br />h?'18_ <br />`~~~~ <br />:lor aam.r. <br />Ga+.mor <br />' Frp R, alnli. <br />APP(.ICATION FORM =0R A RE'/iSiON ohuwn o~r~or <br />TO A COAL MINING AND RE~L.IMA i :ON PE'Rh1IT <br />This form mist be completed and submitted wi`~h all requests for minor <br />revisions, as defined in Rule 1.04(73), tecanicat revisions as defined to <br />Rule 1.04(36) and permit revisions, as defined in Aule 1.04(90). All <br />revisions are to address the requirements of Rule 2.08.4. firee (3) copies of <br />your revision including maps must be submitted in order for it to be complete. <br />A11 revisions are tD be formatted so they can be inserted into the permit to <br />replace the revised set b ors, maps, tables and/or figures. Explain in the <br />revision what se=tion 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. 41hen the Pinal version of the revision is <br />approved, 7 copies must be sent to OSM in Denver for Federal mines and for <br />non-Federal mines 1 copy rtust 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 Na.: C- s 1- Q Q 8 <br />Date: _0 6 / 2 ~,/ 9 ~t <br />Permittee: W E S T E R N_ F U E L S -_ ~i `l <br />L-IJ~I ~ <br /> <br />C 0 L O I2 <br />A D O n <br />~-- ti~ r~g~ <br />street: ___~ <br />~~~:"• <br /> <br />City: N U C L A --- N---------,.`-- <br />State: C O Zip Code: 8 1 4 2 4- Q 6 2 8 <br />Mine Ndme: N E W H O R I Z O N M I N E <br /> <br />Brief Description of Revision: ~ L ~ ~ S - ~ E..~I ~ L ~ ~, - ~ <br /> <br /> ~~ ~.ZLQ..PL.~ _._-.,------ <br />Public Notice Attac`7ed - Yes ~ No _~ (Required for PR's and TR's) <br />Bond increase: Yes No gg =ederal Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) - ~ .Q. Q Acres Affected Area (+/_) - - ~.~ Acres <br />Permit Area (+/-) - 0 0 - 0 Acres =ederal Land (+/-) ___. - ,.0 Acres <br />State Land (+/-) 0 Acres ?rivate Land (~/-) 0 Acres <br />6185 (10/90) <br />