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OF'~~< <br />'` t5 <br />.«.. COLORADO DIVISION OF MINERALS AND GEOLO~~CEIVED <br />-yes • 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />APPLICATION FORM FORA REVISION DNisionotMinerals3Geology <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(138), 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 OSM) 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 - 1981 - 033 Date: 07 / 26 / 2006 <br />Permittee: Bear Coal Company, Inc. <br />Bear No. 3 Mine <br />Street: P.O. Box 1754 <br />City: Paonia <br />State: C~ Zip Code: 81428 <br />Brief Description of Revision: Clarify reclamation plan. Commit to raze office <br />building, septic tank and power distribution line. <br />Public Notice Attached: Yes No /. (Required for PRs and TRs) <br />Bond Increase: Yes No / Federal / Non-Federal Mine <br />Proposed Change in: <br />Permit Area - <br />Disturbed (+/-} _ _ 0 0 Acres <br />Permit (+/_) _ _ 0. 0 Acres <br />Affected (+/-) _ _ 0 . 0 Acres <br />Mineral Ownership - <br />Mineral Private (+/_) _ _ 0 0 Acres <br />Mineral Federal (+/_) _ _ 0 0 gcres <br />Surface Ownership - <br />Private Land (+/-} _ _ 0 0 Acres <br />Federal Land (+/-) _ _ 0 . 0 Acres <br />State Land (+/-) _ _ 0 . ~ Acres <br />Mineral State (+/-) ` _ 0 0 Acres <br />