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DEC-29-2003 MON 10;51 AM FAX N0, P, 03 <br />r,~lyi . <br />~;~,} ',r4.' Ct11.C)ReUlCy DIV1510N Ole' MYNERA[,S AND GEOLOGY <br /><•,taj~/ 13t3 Sbern~dct Slrcct, Room 215, DcavCr, (;alorodo 80203, (303) 866-3567 <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT <br />7hi:i tome must be cnmploted and submitted with all requests for minor revisions, as defined in Rule 1,04(73). <br />6:.rthrdcnl rcYsians, as defined in Rule 1.04(136), and permit rovisions, as defined in Rule 1,04(90). Ali revisions <br />rrr. to r~Jslress rho rcquiramnnts of Rule 2.08.4. Three (3) copies of the revision, including maps, must Ue <br />snboiiltc;d in order for it to ba compicto, <br />All i cvisons aro fo ba formatted so they oan be inserted iota the permit to replace the revised sections, maps, <br />tnt~!vs Ind/or fgLlfC+, ~n~ilh a rafised table of contents, if necessary. The revision submittal date should be printed <br />in lire Invrc:r ril7ht comer of each rovision page. A cover letter to the revision should explain the nature of tho <br />r~tvir+.on and raferare~ the specific permit sections being rovised. <br />t`cr f:.4iri;,i mines, a copy of rho rovision application must be submitted to alt agencies on the federal mailing list <br />(r!x<;rt~l 173ht) at tlco same time the application is submitted to tho pivisioct, and proof of distribution must be <br />si ib~nitt:,d to the Division along with the apptication, Copies of revision pages modified during tho review process <br />iviaat l:o dc,Gibuled in the same manner, alonc3 with proof of distribution. Proof of dislributior must be submitted <br />prior to in ~plerrn;i dnlian of the revision, <br />frarru7it t1n.: C - ao_„~__ - 007 Date: 12 / 29 / 03 <br />t~tnraiti;rls:: -hAoufttain Coal Company L.L.C, <br />West kl!< Mine <br />~trw,~t; •r.U. Box 591 <br />c;ty; Somerset <br />£.t:;tv: CO_ 7.ip Code: 81434 -____ _ <br />fi3ri2ftau»csiptirn aFRevision: Technical Revision No. 97, (TR-97), <br />Lone Pine Gulch Ptan and Map Changes <br />and withdrawal of Minor Revision No. 301 <br />g'aut~Sic Notiee Attached: Yes / No (Required forPRs and TRS) <br />t'torrd Ir:crcaso: Yes __ No / Federal / Non-Federal _, Mine <br />3"'rufioc:r?d Ch:~r+gc In: <br />la%rartit Jtrea <br />C1i,lurmd (+/_)._ _ o o Acres <br />5~'.:nriit (+!•) __ _ o , o Acres <br />Affoct~•d (-h/') _ _ 0 ~ Acre$ <br />f~!lstvrd;l Cswnt;rship - <br />~7ineta! Priv,zte (~ 1-) __ __ ~ • ~ Acres <br />h'~int?ral f'aticral (r!-)„ _ 0 0 Acres <br />Surface Ownership - <br />Private Land (+/_) _ _ o o Acres <br />Federal Land (+/-) - _ o ~ , o Acres <br />State Land (+/-) ~ ,~ o , o_ Acres <br />Mineral State (+/-) _ _ 0 0 Acres <br />