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!gyp-2~~ <br />OF'~ qqQQ <br />kYD <br />COLORADO DIVISION OF MINERALS AND GEOLOGY <br />~„ ~ 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />R ~,~,~ ° °~ A ~ d'1 <br />APPLICATION FORM FOR A REVISION Der 1 r c''~t72 <br />TO A COAL MINING AND RECLAMATION PERMIT oivisionulMinerar,andceology <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, 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 comer 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 - 80 - 007 Date: 10 / 11 / 02 <br />Permittee: Mountain Coal Company L.L.C. <br />West Elk Mine <br />Street: P•O. Box 591 <br />C;ty. Somerset <br />State: CO Zip Code: $1434 _ <br />Brief Description of Revision; Minor R@ViSion NO. 288, Installation of <br />Inclinometers and Piezometers for <br />Landslide Monitoring <br />Public Notice Attached: Yes No /. (Required for PRs and TRsJ <br />Bond Increase: Yes / No _ Federal !' Non-Federal _ Mine <br />Proposed Change in: <br />Permit Area - Surface Ownership - <br />Disturbed (+/-) _ _ o o Acres Private Land (+/_) _ _ o o gcres <br />Permit (+/_) _ _o_ , o Acres <br />Affected (+/_) _ _ 0 o Acres <br />Mineral Ownership - <br />Mineral Private (+/-) _ _ ~ ~ Acres <br />Mineral Federal (+/-) _ _ 0 0 gcres <br />Federal Land (+/-) _ _ o_ o gcres <br />State Land (+l-) _ _ ~. o Acres <br />Mineral State (+/-) _ _ ~ _ Acres <br />