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00-18-02 02:O7PM FROM-DMG GRAND JUNCTION FIELD OFFICE 9T0 241 1516 T-221 P.002/005 F-480 <br />--~- a <br />COLOR,4D0 DIVISION OF MINEReL'LS AND GEOLOGY ~ I <br />1313 Sherman S[rerl. Room 215. Dcnver, Colorado 80203, (303) 866-3567 <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMI7 <br />This form must be completed and submitted with all requests for minor revisions, as defined in Rule 7.04(73), <br />technical revisions, as defined in Rule 1.D4(1361, and permit revisions, as defined in Rule 1.04(90). All <br />revisions are ro address the requirements of Rule 2.08.4. Three (31 copies of the revision, including reaps, <br />must be submitted in order far it ro be complete. <br />All revisions are tc be formatted so they can be inserted into the permit ro 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 specitic permit sections being revised. <br />F.or federal mines, a copy of the revision application must be submitted to all agencies on the fe'derel mailing <br />Ii.^,t (except OSMI at the same time the application is submitted to the Division, and proof of distribution must <br />be submit[! to the Division along with the application. Copies of revi_ton pages modified during the review <br />process must be distributed in the same manner, along with proof of disiribution. Proof of distribution must <br />be submitted prior to implementation of the revision: <br />Permit No.: C - 1981 018 Date: 09 / 10 / 2002 <br />Permittee: BLUE MOUNTAIN ENERGY, INC_ <br />Street: 3607 CR 65 <br />city: RANGELY <br />State: CO Zip Code: 81645 <br />Briet Description of Revision: Moving west entrance into Refuse Area 5a. <br />Public Notice Attached: Yes _ No ~ (Required for PRs and TRsJ <br />Bond Increase: Yes No X Federal X Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/•) _ _ 0 0 Acres <br />Permit Area (+/-1 _ _ 0 0 Acres <br />State Land •(+l-) 0 0 Acres <br />Affected Area {+!-) 0 0 Acres <br />Federal Land (+!-) _ _ 0 0 Acres <br />Private Land (+/-) 0 0 Acres <br />