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STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION oF.~o~ <br />Department of Natural Resources ti~~~4yp <br />~ <br />c <br />~ <br /> <br />1313 Sherman St., Room 215 o <br />i <br />~Q ~ <br />~0 <br /> <br />Denver, CO 80203 ~ ~© ~ ~ <br /> <br />' <br />303 866.3567 ~ '. . <br />c <br />r <br />Fn x: 303 832-8106 e7 <br /> RW Honer. <br />Gavaror <br /> Fratl H. Banta <br />APPLICATION FORM FOR A REVISION OtWian Oirrtor <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. When the final 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 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- <br />Oate: 1 8 1- <br />1/ 2 0 2 2 <br />5/ 9 2 <br />~~~,~I)/~~ <br />N <br />Permittee: S <br />C O M E <br />O M P R S E <br />A N Y T M I N I N G <br />NOl127~ggG <br />P <br />Street: - <br />- O <br />- - - <br />- - - -------- <br />B O X 5 3 5 ~~"`'~~'~ Ur <br />- - - - - - - - - - `=uVE~HLS & GEOLOGY <br />- - - - - - - - - - - <br />City: S O M E R S E T------------ <br />State: C o Zip Code: 8 1 4 3 4_---- <br />Mine Name: S <br />- O M E <br />- - - R S E <br />- - - T & S A N A O R N <br />- - - - - - - - - - - - - <br />Brief Descripti on of Re vision: P E R M I T N O N C O A L-- <br /> ' W A S T E S T O R A G E <br /> .~..~ f. B..iZ----------- <br />Public Notice Attached - Yes _ No xx (Required for PR's and TR's) <br />Bond Increase: Yes No xx Federal Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) <br />Permit Area (+/-) <br />State Land (+/-) <br />_ o , o Acres <br />0 o Acres <br />0 Acres <br />Affected Area <br />Federal Land <br />Private Land <br />(+/=) _ o o Acres <br />(+/- ) _ _- o Acres <br />(+/-) 0 Acres <br />6185E (10/90) <br />