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iii iiiiiiiiiiiu iii <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />1313 Sherman St.. Room 215 <br />Denver. CO 80203 <br />303 866-3567 <br />Fax: 303 832.6106 <br />STATE OF COLORADO <br />OF' COQ <br />ti~ q~ <br />rSi~~ ~$ <br />N <br />~ i <br />a <br />~ r876 ~ <br />Rq Romer. <br />Cvemar <br />' Fretl R. Banta. <br />APPLICATION FORM FOR A REVISION oiision 0ertor <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. firee (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 sD they can be inserted into the permit to <br />replace the revised sections, maps, tables and/or figures. Explain in the <br />revision what sec ti an 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 a]so be revised. When the final version of the revision is <br />approved, 7 copies mist 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 unt11 OSM <br />has been provided copies. Copies should be sent certified mail. <br />Permit No.: C- S i- 0 2 5 <br />Date: 0 6/ 0 2/ 9 2 ~' V ~,'~ <br />Permittee: M I N R E C I N C ~1r~ <br />..-.-,.------------ <br />Street: z~ 6 8 c o M P A s_ s__ ~~~ ~ 1992 <br />D _R I V E_ S T _E _ 1 o i _ r Mined --a~ar,ct~n <br />City: G R A N D_ J U N C T I O N HeClama1i0n n- <br />State: c o Zip Code 8 1 5 0 6_ <br />Mine Name: N O R T H T H O M P S O N C R E E K <br />Brief Descri pti on of Revision: c L A R I F Y_ D I S P O S I T I O N <br />O F P T O P S O I L <br />S T O C K P I L E S _._____ <br />Public Notice Attached - Yes ~ No x (Required for PR's and TR's) <br />Band Increase: Yes No x Federal Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ o. 0 Acres Affected Area (+/-) _ _o, o Acres <br />Permit Area (+/-) _ _ o.o Acres Federal Land (+/-) ~_ _ o ` Acres <br />State Land (+/-) o i Acres Private Land (+/-) 0 Acres <br />eider /inr0/~1 <br />