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~ C <br />:; ~ COLORADO DIVISION OF MINERALS AND GEOLO~EC~'vED <br />„s ~ 1313 Sherman Street, Room ZI S, Deaver, Colorado 80203, (303) 866-3567 <br />NOV ~ 3 20D3 <br />APPLICATION FORMFORAREVISION OtttsronotMi~r~sdG <br />TO A COAL MINING AND RECLAMATION PERMIT ~b'9Y <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 - 19s1 - 033 Date: 11 / 13 / 2003 <br />Permittee: Bear Coal Company, Inc. <br />Bear No. 3 Mine <br />Street: P.O. Box 1754 <br />City; Paonia <br />State: CO Zip Code: 81428 _ <br />Brief Description of Revision: Incorporate data amended during the permit renewal <br />process into the permit application package. <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 />Surface Ownership - <br />Private Land (+/-) _ _ 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 Acres <br />Federal Land (+/-) _ _ 0 . 0 Acres <br />State Land (+/-) _ _ 0 . ~ Acres <br />Mineral State (+/-) _ _ 0 0 Acres <br />