REV00009

• Permit No: C1980007
• IBM Index Class Name: Revision
• Doc Date: 8/27/2001
• Doc Name: APPLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMATION PERMIT
• Type & Sequence: MR282
• Media Type: D
• Archive: No

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III IIIIIIIIIIIII III COLORADO DIVISION OF MINERALS Ai1iD GEOLOGY
999 1313 Sherman Street, Room 21i, Denver, Colorado 80203, (303 866-3567
!~EGFI\fED
AU6 ~ 7 2001
APPLICATION FORM FOR A REVISIO~~gg~;pp~jy
TO A COAL MINING AND RECLAMATION PERMIT
This form must be completed and submitted with all requests for minor revisions, as defined in Rule 1.04f731,
technical revisions, as defined in Rule 1.0411361, and permit revisions, as defined in Rule 1.041901. All
revisions are to address the requirements of Rule 2.08.4. Three 131 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 andlorfigures, with a revised table of contents, if necessary. The revision submittal date should be
printed in the lower right corner 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 - 80 - 007 Date: nsz / ~e / nt
Permittee: Mountain Coal Company L.L.C.
West Elk idine
Street:
City:
Somerset
State: Cp Zip Code: rat a-za -
Brief Description of Revision: Minor Revision 282 - Request for Annr^rtval
of Gob Vent Degas Borehole Pads 14-06; 15-06;
Public Notice Attached: Yes _ Nog (Required for PRs and TRsI
Bond Increase: Yes X No _ Federal ~ Non-Federal _ Mine _ .,
Proposed Change in:
Disturbed Area (+!-) _ ~ . ~ Acres Affected Area (+!-) _ _ 6 0 Acres
Permit Area (+/-) _ _ 0 0 Acres Federal Land (+/-) _ _ ~ . ~ Acres
State Land (+/-) 0 0 Acres Private Land (+/-) 0 0 Acres
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