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<br /> COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866 -3567 <br /> <br /> <br /> <br /> APPLICATION FORM FOR A REVISION <br /> TO A COAL MINING AND RECLAMATION PERMIT <br /> <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 /> <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 /> <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 /> <br />Permit No.: C - 1980 - 007 Date: 01 / 19 / 18__ <br />Permittee: Mountain Coal Company, LLC <br /> West Elk Mine <br />Street: 5174 Highway 133 <br /> <br />City: Somerset <br />State: CO Zip Code: 81434_____ <br /> <br />Brief Description of Revision: Technical Revision No. TR-144, In-Mine Exploration. <br /> <br /> <br />Public Notice Attached: Yes X No (Required for PRs and TRs) <br />Bond Increase: Yes No X Federal X Non-Federal Mine <br /> <br />Proposed Change in: <br /> <br />Permit Area - Surface Ownership - <br />Disturbed (+/-) 0 . 0 Acres Private Land (+/-) 0 . 0 Acres <br />Permit (+/-) 0 . 0 Acres Federal Land (+/-) 0 . 0 Acres <br />Affected (+/-) 50 . 0 Acres State Land (+/-) 0 . 0 Acres <br /> <br />Mineral Ownership - <br />Mineral Private (+/-) 0 . 0 Acres Mineral State (+/-) 0 . 0 Acres <br />Mineral Federal (+/-) 0 . 0 Acres