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. III IIIIIIIIIIIIIIII 999 STATE OF COLO[ZADO DIVISION OF MINERALS AND GEOLOGY RECEI Oeoanmem ai Nawral Resources 1713 Sherman 51.. Roam 215 JUN 1 Denver. Colorado tl0203 Phone: 17031 866-]567 FA%: (10318324106 APPLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMATION PERMIT Division of Miners This form must be completed and submitted with all requests for minor revisions, as defined in Rar,R,,,,Q Rule 1.041731, technical revisions, as defined in Rule 1.041361, and permit revisions, as defined ~01°"0f in Rule 1.04(901. All revisions are to address the requirements of Rule 2.08.4. Three 131 copies verbs u><hhead of the revision, including maps, must be submitted in order for it to be complete. riO°" °1eioi wdrad e. ~ Olvwlur Ouacmr All revisions are to be fom+atted so they can be inserted into the permit to replace the revised sections, maps, tables and/or figures, with a revised table of contents, if necessary. The revision submittal date should be printed in the lower right comer of each revision page. A cover letter to the revision should explain the nature of the revision and reference the specific permit sectionstieing revised. Far federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing list at the same time the appGeation 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 tfie revision. For non-federal mines, a copy of the applration for which the Division has issued a proposed approval decision must be submitted to the OSM Albuquerque Field Office (AFOI, and proof of submittal to AFO must be submitted to the Division prior m implementation of the revision. MINOR REVISION N0. 218 Permit No.: C - g-, ~- - ~ ~, L Date: g b.._ / 1 ~, / ~- ~, Permittee: ~14UT3TBId__C4A>+ COMPA~iY - - - - - - - - - WEST ELK MINE Street: P.O. Box 591 ----------- - - - - - - - - - - - - - - - CitY: S9MEB~EZ - _ - - - -- - - - - - State: ~ - Zip Cade: x[,,34 - - - - - _ - Brief Description of Revision: 19.9ZGE9T~G1itLICAL nBIL],iNG..3ROGRAAL _ - - - .. Puhlic Notice Attached: Yes _ Nog (Required for PRs and TRsI Bond Increase: Yes ~ No - Federal ~ Non-Federal - Mine Proposed Change in: Disturbed Area (+/-) - - g . g Acres Affected Area (+/-) - _ ~ .Acres Permit Area (+/-) - - g . g Acres State Land (+/-) - - g . g Acres m:\md\sharel form ~1a885 Federal Land (+/-1 - - ,-0.,.~.Acres Private Land (+/-) - - ~ .~ Acres