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r. . STATE OF COLORADO DIVISION OF MINERALS AND GEOLOGY DeDanment of Natural Resources 1313 Sherman St., Room 21 S MR 136 I`~~~~~~ Oemer, Colorado 80203 II Phone' (3031 866-3567 FA%:1103) 832.8106 APPLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMATION PERMIT DEPART'MENTOI NATUR.AI RESOURCE This form must be completed and submitted with all requests for minor revisions, as defined in Roy Romer Rule 1.04(731, technical revisions, as defined in Rule 1.041361, and permit revisions, as defined cO"°"1Of in Rule 1.04(901. All revisions are to address the requirements of Rule 2.08.4. Three 131 copies Tames S. lochhead of the revision, including maps, must be submitted in order for it to be complete. taetutive Dirtcror Michael B. Long Division DirMOr' All revisions are to be formatted so they can be inserted into the permit to replace the revised sections, maps, tables andlor figures, with a revised table of contents, if necessary. The revision submittal date should be printed in the lower right corner of each revision page. A cover letter to the revision should explain the nature of the revision and reference the specific permit sections being revised. For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing list at the same time the application is submitted to the Division, and proof of distribution must be submitted to the Division along with the application. Copies of revision pages modified during the review process must be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted prior to implementation of the revision. For non-federal mines, a copy of the application for which the Division has issued a proposed approval decision must be submitted to the OSM Albuquerque Field Office (AFOIr and proof of submittal to AFO must be submitted to the Division prior to implementation of the revision. QGrF~\iCf) Permit No.: C - Bo _ - oo~_ - Date: os _ / z5 - / S4 - AUG 2 9 1994' Permittee: _ Mountain Coal Comp, West Elk Mine_ - - - P.O. Box 591 - - - - - - - - - - - - - - Ti,islu~i ~, .,,.,,,,,,.,......,.. , ~Y Street: - - - - - - - - - - - - - - - City: _ Somerset, Colorado_ State: _ ~D Zip Code: 81434 _ _ - _ - - Brief Description of Revision: Minor Revision No. 136 Incorporation of Colorado Department of Health, Air Pollution Control Division - - - - - - - - - - - - - - Emission P~its_ t1ns. ~8Cd10.38F_an~ 1.3GU034-n - Public Notice Attached: Yes - No X /Required for PRs and TRsI Bond Increase: Yes - No % Federal x Non-Federal - Mine Proposed Change in: Disturbed Area (+/-) _ _ Q . ~ Acres Affected Area (+/-) - - ~ ~ Acres Permit Area (+/-) _ _ 0 0 gcres State Land (+/-) - _ 0 0 Acres m:\co el\sh ere\fo rm s\886 5 Federal Land (+/-) - - ~ . __0_ Acres Private Land (+/-- - _ 0 . ~ Acres