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III IIIIIIIIIIIIIIII <br />999 <br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver. CO 60203 <br />303 866-3567 <br />FA X: 303 832-8106 <br />OF Cpl <br />ti~~ q7 <br />~' %'i8 <br />.,~ . <br />/816 ~ <br />Rvl homer, <br />Govemn <br />Fretl R.6anta. <br />APPLICATION FORM FOR A REVISION o+~Smn Dir0-1~r <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 nest be sent to OSM-in Denver for Federal mines and for <br />non-Federal mines 1 copy must 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-~ 2 - 0 5 7 <br />Date: ~. ~./ ~. ~./ 3 2 <br />Permittee: ~~~ g Q D Y- C O A L--- <br />~ O M P A N Y _ - ~~' "' _ <br />Street: 1 3 0 0- S O U T H- Y A L E ~ `~ ~~ ~~ <br />city: .~1~~.~.1.~..~~------- ~'AAY261992 <br />State: A Z Zip Code: 8 6 0 o i - - - _ Nlined Land <br />Mine Name: S E N E C A - I ~- w - - - - ~e~lamation n~r,;s;,~~ <br />Brief Description of Revision: R E S P O N S E _, T O- T R 1 6 <br />S T I P U L A T I O N - N 0 1 9 <br />- - - - - - - - - - - - - - - - <br />Public Notice Attached -Yes No X (Required for PR's and TR's) <br />Bond Increase: Yes No X Federal X Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/_) - - ~,Q Acres Affected Area (+/-) - - ~.~ Acres <br />Permit Area (+/-) - _ ~,~ Acres Federal Land (+/-) - - ~ Acres <br />State Land (+/-) - - .Q Acres Private Land (+/_) - - ~ Acres <br />6185E (10/90) <br />