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.~~ iii iiiiiiiiniiiiii <br />:'fi`g COLORADO D~VISION OF MINERALS AND GEOLO 999 <br />a~~, 1313 Sherman Stre ,Room 215, Denver, Colorado 80203, (3 CEIVED <br />. , <br />~ SEP 1 1 1998 <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PER IT DIV. OF MINERAL <br />8 GEOLOGY <br />This form must be completed and submitted with all requests for minor revisions, as defined in Rule 1.04(73), <br />technical revisions, as defined in Rule 1.0411361, and permit revisions, as defined in Rule 1.04(901• All <br />revisions are to address the requirements of Rule 2.08.4. Three (3) copies of the revision, including maps, <br />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 replace the revised sections, maps, <br />tables and/or figures, with a revised table of contents, if necessary. The revision submittal date should be <br />printed in the lower right corner of each revision page. A cover letter to the revision should explain the nature <br />of the revision and reference the specific permit sections being revised. <br />For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing <br />list lexcept OSM) at the same time the application is submitted to the Division, and proof of distribution must <br />be submitted to the Division along with the application. Copies of revision pages modified during the review <br />process must be distributed in the same manner, along with proof of distribution. Proof of distribution must <br />be submitted prior to implementation of the revision. <br />Permit No.: C - 80 - 003 Date: _~_ / ~~ / qR <br />Permittee: H-G COAL COMPANY <br />Street: One Town Center Road <br />City: Boca Raton <br />State: FL Zip Code: 33486 - <br />Brief Description of Revision: Eastside Access Road Culvert Cauacity <br />Demonstration <br />Public Notice Attached: Yes _ No ~ (Required for PRs and TRsI <br />Bond Increase: Yes _ No X Federal _ Nan-Federal ~ Mine <br />Proposed Change in: <br />Disturbed Area (+!-) _ _ Q • ~ Acres <br />Permit Area (+/-) _ _ ~ • ~ Acres <br />State Land 1+/-) _ - 0 • 0 Acres <br />Affected Area (+/-) _ _ ~ . O_ Acres <br />Federal Land 1+/-) _ _ ~ . ~ Acres <br />Private Land (+/-1 _ _ ~ . ~ Acres <br />