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<br />~' , COLOF3ADO~DIVISION: OF MN~RAd:S ANB'GEDI:©GY
<br />1313;Sherman Streei, Room 215, De3aver, Co3grado 8QZ03; (3°3,} &6,6.35G7
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<br />i , :.;,a~~`~~~~ APP,LIGATION FE~RM:I:OR'/k R~VI31L)N,:: NOV O ~ ZOOS
<br />- 1'O A COAL MINING.ANI7 RECL'AMATIQN.P~RM1T Division of Miaerels and Geolosy
<br />1'hissfomi mWSt be comple(ed and submitted',with aif requests forininot r@visions,:as defined in Rufe 1.04(73),
<br />techhicaY.revision`s, as defined in Rule.1.04(136), and permti_revisions,:as defined-ln Rule~1.04(90). All revisions
<br />areito,address the requirements of Rule 2,0814. Three (3) copies of the revision .including maps; must be
<br />submitted in order for it tq be Complete.
<br />All revisronss:are to be formatted so they can be insertedrnto the pemlittgreplace"the-revised sections, maps,
<br />Gables and/drvfigures, with arevised table of eontent4, H necessary. `The~v1sldri submittal dafeshould tie printed
<br />In the'iower;~right cdrner~of, eadh`Yavision pager; A covecaettcr to-the~revis#odshouldezplain the nature of the
<br />revision and; Yefersnde the specific permit sections being revised.
<br />For,federaf mines, a=copy of thg-ravislon applibatiort must be submitted.Ea a#! agencies, on-tt?e federat`ma#lirtg Gst
<br />(axgeptOSM}at,tfie'saine time. the appiirationas sutimHted to the 17i3isjpn„ahit,praof'of=-distribution musr'be
<br />subrriifled to th,8 Droisionalong with tf9'e application Copies of revision pages'mgdified-duHng the,r`eview process
<br />must+be distributed,in,ttie lama:manner; along with proof pfdistributidn: Proof of distribution,must be submitted
<br />prio-to implameritatiorrof ttie revision.
<br />PetmitNo.: G, ,so - oo? Date: 11 / 01 / 05
<br />Permitteec Mtauntain,CoaYCotnpariy.L:L..G ~ ~ Y_
<br />West EIk.Mitie
<br />• street: R:Q Box 591 ~_ ~^
<br />City; Sornerset ~_~~~_^
<br />State: ~C(J Zip-Code; 81419 ~-
<br />sriei• aesa:iptton of Recision: Minor Revision €Vg. 32.1.- MRT321` .
<br />aare HN¢s 24 HG1Et LSS(C~A 8 B, P4tiG@fi 1'.SXC R & B, and d4MG3EP•.SXC A 8 8
<br />Drilling Project
<br />Puhlc;Noti~e Attached:: Yes No / _ (Required for f'R§ and TRs}-
<br />~Bortd tncrease:. Yes / -Nb - Federal / - Norr-Ped,etat ~ Pdtne
<br />Proposed Change in:
<br />~Pei~mit~Area - ~ ~&urface UWnershlp -
<br />,Disturbed' (±ti) _._ ~ ? . 0 Acres ~ Private?Land" (+)-) _
<br />Permit (+/.) ~ o . oT Acres
<br />Affected (±/-)'~ _ Q . Q' 'Acres
<br />• Mineral Ownersitrp. =
<br />MineratFnivate ~ ~:~(±7=) ~ _ 0~. Q.~Acres
<br />~Mirreral Federal ; -(+!-) ,_ ,_ O . Q Acres
<br />Federal Land -(+1-)
<br />State Land (+/-} __
<br />T o o Acres
<br />o o .Acres
<br />D' ° Acres
<br />11Nineral;:StaEe (±l-)~ __ ~ ~ Acres
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