REV101412

• Permit No: C1982056
• IBM Index Class Name: Revision
• Doc Date: 1/28/1999
• Doc Name: APPLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMATION PERMIT
• Type & Sequence: MR162
• Media Type: D
• Archive: No

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STATE OF COLOP~ADO
DIVISION OF MINERALS AND GEOLOGY t-
Detsanment of Natural Resource , F ~ E ~ VE
1313 Sherman 51.. Room 215
Denver. Colorado 80201
F'hnne:13D31 ebb-3567 ~ ~ JAN 2 8 1999
FAX: [phone] APPLICATION FORM FOR A REVISION
TO A COAL MINING AND RECLAMATION RORIIaIDinera158Geology
This form must be completed and submitted with all requests for minor revisions, as defined in
Rule 1.04(73), technical revisions, as defined in Rule 1,04(1381, and parrn)t revisions, as defined
in Rule 1.04(901. All revisions are to address the requirements of Rule 2.08.4. Three (3) copies
of the revision, including maps, must be submitted in order for it to be complete,
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All revisions are to be formatted so they can be insetted into the permit to replace the revised
sections, maps, tables and/or figures, with a revised table of contents, if necessary. The revision submittal
date should be printed in the lower right corner of each revision page. A cover letter to the revision should
explain the nature of the revision and reference the specific permit sections being revised.
For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing
list at the same time the application is submitted to the Division, and proof of distribution must be submitted
to the Division along with the application. Copies of revision pages modified during the review process must
be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted
prior to implementation of the revision. For non-federal minas, a copy of the application far which the
Division has issued a proposed approval decision must be submitted to the OSM Western Regional
Coordinating Center (1999 Broadway Blvd., Suite 3320, Denver, CO 80202-57331, and proof of submittal
to OSM must be submitted to the Division prior to implementation of the revision.
Permit No,: C - ~ ~, - 0 ~ 6 Date: ~. 1 / ~ ~ 1 ~ ~
Perrnittee: T W E N ~ Y M I L E------
C O A ~- C O M P A N Y---
Street: 2~ 5 1 5 R O ~I _ T T-~ O U N T Y
_~ O A D - ~? ~ -------
City: O ~- I( - C R ~ E J( - - - - - -
State: C O Zip Code: 8 0 4 6 7-----
Brief Description of Revision: 99-1 f,2 - Southeast Submains Extension 3 Right Gateroad.
Alternate and Northeast Submains Reorientation
Public Notice Attached: Yes - Nom (Required for PRs and TRs)
Bond Increase: Yes _ No ~• Federal- Non-Federal -Mine
Proposed Change in:
Disturbed Area (+/_) - _ ~ , ~ Acres
Permit Area (+/-) - - 0 . ~ Acres
State Land (+/_) - - 0 0 Acres
Affected Area (+/-) - _ ~ , ~ Acres
Federal Land (+/-) - = 0 6 Acres
Private Land (+/_) - - 0 0 Acres