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STATE OF COLORADO <br />DIVISION OF MINERALS AND GFOLOGY <br />Department of Natural Resources <br />1117 Sherman 51.. Room 215 <br />Denver, Colorado 80201 , ~. r 1~~ E~ <br />Phone: 13031 866.7567 "` ~ ~ <br />FAx: (7071872.8106 APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERM-~ '~ a ~9g~ <br />t veptio9Y <br />This form must be completed and submitted with all requests for minor revisions;las defined in <br />Rule 1.041731, technical revisions, as defined in Rule 1.04(361. and permit'r'evisions, as defined <br />in Rule 1.041901. All revisions are to address the requirements of Rule 2.08.4. Three 131 copies <br />of the revision, including maps, must be submitted in order for it to be complete. <br />Rey Bonier <br />Gosemer <br />lama 5. Lo[hhead <br />Faecvu.e Oirectar <br />Michael 8. l.on6 <br />Division Olnecln <br />All revisions are to be formatted so they can be inserted into the permit to replace the revised <br />sections, maps, tables andJor 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 the <br />revision should explain the nature 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 alt agencies on the federal mailing <br />list at the same time the application is submitted to the Division, and proof of disvibutian must be submitted <br />to the Division along with the application. Copies of revision pages modified during the review process must <br />be distributed in the same manner, along with proof of disvibution. Proof of distribution must be submitted <br />prior to implementation of the revision. For non-federal mines, a copy of the application for which the <br />Division has issued a proposed approval decision must be submitted to the OSM Albuquerque Field Office <br />(AF01, and proof of submittal to AFO must be submitted to the Division prior to implementation of the <br />revision. <br />MINOR REVISION N0. 208 <br />Permit No.: C - ~ ~ - ~ ~ L Date: ~ _2. / L 3_ / s Z <br />Permittee: MOUNTAIN COAL COMPANY _ _ _ _ _ _ _ _ <br />WEST ELK MINE _ _ <br />Street: P • 0. BoX 591 _ <br />- - - - - - - - - - - - - - - <br />city: SOM>ixsET _ _ _ <br />State: C 0 Zip Code: 81434 _ _ _ - _ _ _ <br />Brief Description Of Revision: AHR REPORTING <br />Public Notice Attached: Yes _ No x (Required for PRs and TRsJ <br />Bond Increase: Yes No % Federal x Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ ~ . ~ Acres Affected Area (+/-) _ _ ~ . ~ Acres <br />Permit Area (+/-) _ _ o 0 Acres <br />State Land (+/-) _ _ 0 . Q Acres <br />m:\eoal\sh era\f onne\889 5 <br />Federal Land (+/-) _ _ 0 .QAcres <br />Private Land (+/-) _ _ Q .QAcres <br />