2018-11-13_REVISION - C1981008

• Permit No: C1981008
• IBM Index Class Name: Revision
• Doc Date: 11/13/2018
• Doc Name: Application
• From: Tri-State Generation and Transmission Association
• Type & Sequence: MR110
• Email Name: BFB
• Media Type: D
• Archive: No

R COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY
1313 Sherman Street, Room 215, Denver, Colorado 80203, [phone]
APPLICATION FORM FOR A REVISION
TO A COAL MINING AND RECLAMATION PERMIT
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(136), and permit revisions, as defined in Rule 1.04(90). 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.
All revisions are to be formatted so they can be inserted 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 comer 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
(except OSM) 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.
Permit No.: C - 1981 _ 008 Date: 11 /_12 /2018
Permittee: Elk Rldge Mining and Reclamation, LLC
RECEIVED
Street: 27646 West 5th Street
P.O. Box 628 r�OV 1 2Q�8
City: Nucla Division of Reclamation,
State: CO Zip Code: 81424 _
Mining &Safety
Brief Description of Revision: MR -110 addresses movement of topsoil to bond
released areas on ERMR, Staats & GW46 properties.
Public Notice Attached: Yes❑ No ❑✓ (Required for PRs and TRs)
Bond Increase: Yes[] No❑✓ Federal ❑ Non -Federal✓❑ Mine
Proposed Change in:
Permit Area -
Surface Ownership -
Disturbed 0.0— —.—Acres
Private Land
(+/-) 0_0 _ _
_ Acres
Permit (+/-)0_0 _ _ .
_ Acres Federal Land
(+/-) 0_0 _ _
, —Acres
Affected (+/-)0.0 _ _ .
_ Acres State Land
(+/-) 0_0 _ _
. _ Acres
Mineral Ownership -
Mineral Private (+/-) 0.0_
_ Acres Mineral State
(+/-) 0.0 _ _
_ Acres
Mineral Federal (+/-) 0.0_
_ —Acres