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<br />or <o~ <br />A~'_. 91 <br />~' COLORADO D~VISION OF MINERALS AND GEOLOGY <br />• 1313 Sherman S[re ,Room 215, Denver, Colorado 80203, (303) 866-3567 <br />laic' <br />APPLICATION FORM FOR A REV <br />TO A COAL MINING AND RECLAMATI <br />IN AUG 1 4 1998 <br />PE MIT <br />DIV. OF MINERALS <br />8 GEOLOGY <br />This form must be completed and submitted with all requests for minor revisions, as defined in Rule 1.04(73), <br />technical revisions, as defined in Rule 1.0411361, and permit revisions, as defined in Rule 1.04190). All <br />revisions are to address the requirements of Rule 2.08.4. Three (31 copies of the revision, including maps, <br />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 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 specific permit sections being revised. <br />For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing <br />list (except OSM) at the same time the application is submitted to the Division, and proof of distribution must <br />be submitted to the Division along with the application. Copies of revision pages modified during the review <br />process must be distributed in the same manner, along with proof of distribution. Proof of distribution must <br />be submitted prior to implementation of the revision. <br />Permit No.: C - 81 - 022 Date: 8 / 11 ! 98 <br />Permittee: OXROW MTNTNG TNf_ <br />Street: POST OFFICE BOX 535 <br />City: SOMERSET <br />State: CO Zip Code: 81434 - <br />Brief Description of Revision: 1998 FI K f.RFFK <br />EXPLORATION PROGRAM <br />Public Notice Attached: Yes No X (Required for PRs and TRsI <br />Bond Increase: Yes g No _ Federal ~ Non-Federal _ Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ ~ . ~ Acres <br />Permit Area (+/-1 _ _ 0 . 0 Acres <br />Affected Area (+/-) _ _ p . p Acres <br />Federal Land (+/-) _ _ ~ . ~ Acres <br />State Land (+/-) _ _ ~ ~ 0_ Acres <br />Private Land (+/-) _ _ ~ . ~ Acres <br />