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4 <br />o `o~~ <br />=' COLORADO DIiVLSION OF MINERALS AND GEOLOGY <br />~•~• 1313 Sherman Street,-Room 215, Denver, Colorado 80203, (303) 866-3567 <br />Dais <br />0 <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 1.041136), and permit revisions, as defined in Rule 1.04190). All <br />revisions are to address the requirements of Rule 2.08.4. Three 13) copies of the revision, including maps, <br />must be 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 <br />printed in the lower right corner of each revision page. A cover letter to the revision should explain the nature <br />of the 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 <br />list (except OSM) at the same time the application is submitted to the Division, and proof of distribution must <br />be submitted to the Division along with the application. Copies of revision pages modified during the review <br />process must be distributed in the same manner, along with proof of distribution. Proof of distribution must <br />be submitted prior to implementation of the revision. <br />Permit No.: C - 81 _ 022 Date: 04 / 27 / 99 <br />Permittee: Oxbow Mining„ Inc . <br />Sanborn Creek Mine <br />Street: P.O. Box 535 <br />Somerset, CO 81434 <br />City; Somerset <br />State: -~ Zip Code: 81434 - 0535 <br />Brief Description of Revision: Emergency Mine Dewatering Pond <br />RECEIVED Facilities <br />MAY 10 1999 <br />Division of Minerals & Geology <br />Public Notice Attached: Yes No X (Required for PRs and TRs1 <br />Bond Increase: Yes No X Federal X Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ 1 . 0 Acres Affected Area 1+/-) _ _ 1 .0 Acres <br />Permit Area (+/-1 _ _ 0 0 Acres Federal Land (+/-) 0 ~ Acres <br />State Land (+/-- 0 . 0 Acres Private Land (+/-) 0 0 Acres <br />