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of cow <br />N'~% ~~'$ COLORADO DIVISION OF MINERALS AND GEOLOGY <br />~,~; 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />=,a,s Y Ep <br />APPLICATION FORM FOR A REVISION R <br />TO A COAL MINING AND RECLAMATION PERMIT p,P~ Z~ 2~ <br />pN\¢art oS M\aeca\s aad <br />This form must be completed and submitted with all requests for minor revisions, as defined in <br />Rule 1.04(73), technical revisions, as defined in Rule 1.04(136), and permit revisions, as defined <br />in Rule 1.04(90). All revisions are to address the requirements of Rule 2.08.4. Three (3) copies of <br />the revision, including maps, must be 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 <br />sections, maps, tables and/or figures, with a revised table of contents, if necessary. The revision <br />submittal date should be printed in the lower right corner of each revision page. A cover letter to <br />the revision should explain the nature of the revision and reference the specific permit sections <br />being revised. <br />For federal mines, a copy of the revision application must be submitted to all agencies on the <br />federal mailing list (except OSM) at the same time the application is submitted to the Division, and <br />proof of distribution must be submitted to the Division along with the application. Copies of <br />revision pages modified during the review process must be distributed in the same manner, along <br />with proof of distribution. Proof of distribution must be submitted prior to implementation of the <br />revision. <br />Permit No.: C - 1981 - 022 Date: 04 / 19 / 02 <br />Permittee: Oxbow Mining LLC <br />Sanborn Creek Mine and Elk Creek Mine <br />Street: P.O Box 535 <br />3737 Highwav 133 <br />City: Somerset <br />State: CO Zip Cade: 81434 - 0535 <br />Brief Description of Revision: MR 62 - Degasification wells CBM 12 -CBM-14 <br />Public Notice Attached: Yes _ No X (Required for PRs and TRs) <br />Bond Increase: Yes No X Federal X Non-Federal _ Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ 0 . 0 Acres Affected Area (+/-) _ _ 0 0 Acres <br />Permit Area (+/-) _ _ 0 . 0 Acres Federal Land (+/-) _ _ 0 0 Acres <br />State Land (+/-) _ _ 0 . 0 Acres Private Land (+/-) _ ` 0 0 Acres <br />