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COLORADO D'MSION OF ~fII~iERALS AND GEI III IIIIIIIIIIIII III <br />1313 Sherman Str~r, Room 215, Denver, Colorado 80203, (30~j~ <br />~~ED <br />i NOV 06 1998 <br />APPLICATION FORM FOR A REVISION°n orMinerais&Geol <br />TO A COAL MINING AND RECLAMATION PERMIT °9Y <br />This form must ba completed and submitted with all rsquerta for minor revisions, as defined in Rule 1.04(731. <br />technical revisions, as defined in Ruls 1.0411381, and permit revisions, as defined in Rule 1.041901. All <br />revisions are to addreaa the requirements of Ruls 2.08.4. Thrss 13) copisa of the revision, including maps, <br />must be submitted in order for it to be complete. <br />All revisions are to be formatted a0 they can be inserted into the permit to replace the revised sections, maps, <br />tables and/or figures, with a revised table of contents. it necessary. The revision submittal date should be <br />printed in the lower right comer of each revision pegs. A cover letter to the revision should explain the nature <br />of the revision and reference the specific permit ssetiona being reviasd. <br />For federal mince, a copy of the revision spplieation must be submitted to all agencies on the federal mailing <br />list /except OSMI at the same time the application is submitted to the Division, and proof of dirtribution must <br />bs submitted to the Division along with the application. Copies of revision pages modified during the review <br />prasaa must be distributed in the same manner, along with proof of distribution. Proof of distribution must <br />be submitted pnor to implementation of the revision. <br />Permit No.: C • 81 - 022 Date: 11 / 03 / 98 <br />Psrmfttee: OXBOM MINING, INC. <br />Street: P•0_ BOX SiS <br />City: SOMERSET <br />State: ~_ Zip Code: A1~4 <br />Brief Description of Revision: CONSTRUCTION OF SURFACE FACILITIES AND INITIAL <br />DEVELOPMENT AND MINING FOR ELK CREEK MINE. <br />Public Notlee Attached: Yes ~ No _ !Required for PRs and TRsI <br />Band Inaeesa: Yea X No _ Federal _ Nat-Federal _ Mfne <br />Proposed Change in: <br />D4turbed Ana 1 +/-1 _ 2 3. • L Aerss <br />Permit Ana (+/-1 _ _ 0 0 Acres <br />State Land 1 +/-) _ _ Q . ~ Acres <br />Affected Ana (+/-1, 2 3 . L Acres <br />Fedani Land 1+/-) _ _ 0 . ~ Acres <br />Prlvete Land (+/-) _ 2 ~, . L, Acrsa <br />