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COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />•,d;6• 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866 -3567 A��D <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT S�ONOFREO�( <br />pM , , G �p SPr <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 1.04(136), and permit revisions, as defined in Rule 1.04(90). All revisions <br />are to address the requirements of Rule 2.08.4. Three (3) copies of the revision, including maps, must be <br />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 printed <br />in the lower right corner of each revision page. A cover letter to the revision should explain the nature of the <br />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 list <br />(except OSM) at the same time the application is submitted to the Division, and proof of distribution must be <br />submitted to the Division along with the application. Copies of revision pages modified during the review process <br />must be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted <br />prior to implementation of the revision. <br />Permit No.: C - 94 - 82 Date: 12 /05 /2013 <br />Permittee: Seneca Coal CO, LLC <br />Yoast Mine <br />Street: 36600 Rd. 27 <br />PO Box 670 <br />City: Hayden <br />State: CO Zip Code: 81639 _ 0670 <br />Brief Description of Revision: MR 43; Update for Tab 3 Attachment 3 -5 <br />Owner, Officer and Director Information <br />Public Notice Attached: Yes❑ No (Required for PRs and TRs) <br />Bond Increase: Yes❑ No❑✓ <br />Federal ❑ Non - Federal ❑ Mine <br />Proposed Change in: <br />Permit Area - <br />Surface Ownership - <br />Disturbed ( + / -)00 _ _ _ <br />Acres Private Land ( + / -) 0 _ _ _ Acres <br />Permit ( + / -)00 _ _ _ <br />Acres Federal Land ( + / -) 0 _ _ _ Acres <br />Affected ( + / -)00 _ _ _ <br />Acres State Land ( + / -) 0 _ _ _ Acres <br />Mineral Ownership - <br />Mineral Private ( + / -) 0 _ <br />_ _Acres Mineral State ( + / -) 0 Acres <br />Mineral Federal ( + / -) 0 _ <br />_ _ Acres <br />