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'\~.~ COLORADO DIVISION OF MINERALS AND GEOL>~~~'~`v~© <br />\., 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 ,i'~ '1Q02 <br />N0~ <br />~rylsWO of <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, inGuding 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 comer of each revision page. A cover letter to the revision should explain the nature of the <br />revision and reference the specific permit sectiors 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 OSM) at the same time the applicetion is submitted to the Division, and proof of distribution must be <br />submitted to the Division along with the application. Copies of revision pages modfied 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 - 81 - 033 Date: 11 / 15 / 02 - <br />Permittee: Bear Coal Company, Inc. <br />Bear No. 3 Mine <br />Street: P . O Box 17 3 0 <br />City: Paonia <br />State: CO Zip Code: 81426 - <br />Brief Description of Revision: Address permit renewal issues raised by <br />the DMG. Amend water and subsidence <br />monitoring requirements. <br />Public Notice Attached: Yes xx No _ (Required for PR's and TR's) <br />Bond Increase: Yes _ No XX Federal xX Non-Federal _ Mine <br />Proposed Change in: <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 (+/-) _ _ 0 . 0 Acres State Land (+/-) _ _ 0 . 0 Acres <br />Mineral Ownership - <br />Mineral Private (+/-) _ _ 0 . 0 Acres Mineral State (+/-) _ _ 0 . 0 Acres <br />Mineral Federal (+/-) _ _ 0 . 0 Acres <br />