REV93488

• Permit No: C1980007
• IBM Index Class Name: Revision
• Doc Date: 5/18/1992
• Doc Name: APPLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMATION PERMIT
• Type & Sequence: TR62
• Media Type: D
• Archive: No

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STATE OF COLUKAllU
MINED LAND RECLAMATION DIVISION
Department of Natural Resources
1313 Sherman 51., Room 275
Denver. CO 60203
303 666-3567
Fa x: 303 632-6106
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Roy Hamer.
Gouerrror
Fred R. Banta.
APPLICATION FORM FOR A REVISION Owision 0~recror
TO A COAL MINING AND RECLAMATION PERMIT
This form mist be completed and submitted with a]1 requests for minor
revisions, as defined in Rule 1.04(73), technical revisions as defined in
Rule 1.04(36) and permit revisions, as defined in Rule 1.04(90). All
revisions are to address the requirements of Rule 2.08.4. Three (3) copies of
your revision including maps must be submitted in order for it to be complete.
All revisions are to be formatted so they can be inserted into the permit to
replace the revised sections, maps, tables and/or figures. Explain in the
revision what section is being revised. The revision date should be printed
in the lower right corner of the revision pages. If necessary, the Table of
Contents should also be revised, When the final version of the revision is
approved, 7 copies must be sent to OSM in Denver for Federal mines and for
non-Federal mines 1 copy must be sent to OSM at 625 Silver Avenue, SW, Suite
310, Albuquerque, New Mexico 87102. The revision may not proceed until OSM
has been provided copies. Copies should be sent certified mail.
Permit No.: C- 8 0- 0 0 7
Date: o s/ l t/ 9 2 ~l~'~~I p,~ <,
- ~` ~,
Permittee: rt o u N Z g, l,~ - ~, ~, g ~ - -
c o M P A.~.~--------- ~AAY181gg;
Street: P o ,_ B o }L.. - i 2 L - - _. - - Min
ed Land
--- ---------- Re~lamar~~n~:..-.,.
City: S 0 M E R S E T ~
State: C 0 Zip Code: 8 1 4 3 4- Q ~„S l
Mine Name: w E S T _ E L Imo, - ~ 1 ~, ~, - - - - - - -
Brief Description of Revision:-I N c I D E N T A L B 0~ j~D~ $,~ ~H~ 1~ E
E X C L U S I G N ~~ ~.,~ -[~ $,ES _,F,-8 O M
T H E P E $~11„'~, ~..R..E g, ~ ILR_ 1r,0~t rLE R C~
Public Notice A ttached - Yes x No _ (Required for PR's and TR's)I A L L A ]
Bond Increase: Yes No x Federal ~ Non-Federal Mine
Proposed Change 1n:
Disturbed Area (+/-) _ _ 0. 2 Acres Affected Area (+/_) _ _ o .2 Acres
Permit Area (+/-) - - o. 2 Acres Federal Land (+/_) - - ~ o Acres
State Land (+/_) - - o. o Acres Private Land (+/_) - - ~ 0 Acres
6185E (10/90)