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COLORADO DIVISION OF RECLAMATION MINING AND SAFETY <br /> lrft <br /> * <br /> *0. 4L 1313 Sherman Street Room 215,Denver Colorado 80203,(303)866-3567 <br /> r <br /> APPLICATION FORM FOR A REVISION <br /> TO A COAL MINING AND RECLAMATION PERMIT <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 QSM) 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 - 1980 - 007 Date: 11 1 18 / 19 <br /> Permittee: Mountain Coal Company LLC <br /> West Elk Mine <br /> Street: 5174 Highway 133._. .-.__ <br /> City: Somerset <br /> State: co Zip Code: 81434 - 0591 <br /> Brief Description of Revision: Minor Revision No. MR-439: Mobile M D flaring units. <br /> Public Notice Attached: Yes No X I (Required for PRs and TRs) <br /> Bond Increase: Yes No X Federal X Non-Federal Mine <br /> Proposed Change in: <br /> Permit Area - Surface Ownership - <br /> Disturbed {+/-} 0 0 Acres Private Land (+1-} 0 0 Acres <br /> Permit W-) 0 0 Acres Federal Land (+/-} 0 0 Acres <br /> Affected W-) 0 0 Acres State Land (+/-) 0 0 Acres <br /> Mineral Ownership - <br /> Mineral Private W-) 0 0 Acres Mineral State {+!-} 0 0 Acres <br /> Mineral Federal (+/-) 0 0 Acres <br />