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11/10(2005 14:06 9709295595 <br />WEST ELK <br />COLORADO DIVISION OF MINERALS ANA GEOLOGY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />PAGE 04 <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This form must be completed and submitted with all requests for minor revisions, as defined in RUIe 1.04(73), <br />technical revisions, as defined in Rule 1.04(136}, and pemtit revisions,ias defined in Rule 1.04(90}. All revisions <br />are to address the requirements of Rule 2.08.4. Three (3) copies of the revision, including maps, must be <br />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, wish a revised table of contents, if necessary. The revision submittal date should tre printed <br />in the lower right comer of each revision page. A cover letter to the revision should explain the nature of the <br />revision and reference the specific pennd sections being revised. <br />For federal mines, s copy of the revision application must be submitted to alt agencies on the federal mailing list <br />(except OSM) at the same time the application is submitted to the Division, and proof of distribution must be <br />submitted to the Division along with the application, Copies of revision pages modified during the review process <br />must be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted <br />prior to implementation of the revision. <br />Permit No.: C - 80 007 paw; 11 / 10 ~ 05 <br />Permlttee: Mountain Coal Company <br />West Elk Mine <br />Street: P•4. Box 591 _ <br />1 Mile Eas# of Somerset on H 133 <br />c;ty; ~ Somerset <br />State: CO Zlp Code: 81434 _ <br />Brief Description of Revision: Minor Revision 326 !MR-326) <br />24HG2E37XC A and B <br />Public Notice Attached: Yes No ~, (Required forPRs and TRs) <br />Bond Increase: Yes ~ No ~ Federal ~ Non-Federal _ Mlne <br />Proposed Change in: <br />Permit Area - SurFace Ownership - <br />Disturbed (+l-) _ _ ? . o Acres Private Land (+l-) _ _ c ~ Acres <br />Permit (+/-) _ _ o o Acres Federal 4and (+/-) ~ _ u . o Acres <br />Affected (+/-) _ _ o . ~ Acres State Land (+/-) ,_ _ ~ . ~ Acres <br />Mineral Ownership - <br />Mineral Private (+!-) _ _ ~ . U Acres Mineral State (+/-) _ _ ~ . ~ Acres <br />Mineral Federal (+/-) _ ,_ 0 0 Acres <br />