REV97182

• Permit No: C1981022
• IBM Index Class Name: Revision
• Doc Date: 5/27/2003
• Doc Name: Letter & Application ‎(E-mailed)‎
• From: Oxbow Mining LLC
• To: DMG
• Type & Sequence: MR69
• Media Type: D
• Archive: No

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~~ COLORADO DIVISION OF MINERALS AND GEOLOGY
»~ 1313 Sherman S[reet, Room 215, Denver, Colorado 80203, [phone]
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APPLICATION FORM FOR A REVISION MAY ~,~ ~
TO A COAL MINING AND RECLAMATION PERMIT
Division of Minerals o„,, :..o~o9Y
This form must be completed and submitted with all requests for minor revisions, as defined in
Rule 1.04(73), technical revisions, as defined in Rule 1.04(136), and permit revisions, as defined
in Rule 1.04(90). All revisions are to address the requirements of Rule 2.08.4. Three (3) copies
of the revision, including maps, must be submitted in order for it to be complete.
All revisions are to be formatted 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 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 (except OSM) 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.
Permit No.: C - 1981 - 022 Date: OS / 23 / 03
Permittee: Oxbow Minino. LLC
Elk Creek Mine
Street: P.O Box 535
3737 Highway 133
City: Somerset
State: CO Zip Code: 81434 - 0535
Brief Description of Revision: TR 69 -Borrow of Debris Deposit Material for East Fan
Shaft Seal Backfill.
Public Notice Attached: Yes _ No X (Required for PRs and TRs)
Bond Increase: Yes No X Federal X Non-Federal Mine
Proposed Change in:
Disturbed Area (+/_) _ _ 0 . 0 Acres Affected Area (+/-) _ _ 0 0 Acres
Permit Area (+/-) _ _ 0 . 0 Acres Federal Land (+/-) _ _ 0 0 Acres
State Land (+/-) _ _ 0 . 0 Acres Private Land (+/-) _ _ 0 0 Acres