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F ~O~p <br />" •Ry0 <br />~,~_~„>;.' COLORADO DIVISION OF MINERALS AND GEOLOGY <br />%"~ 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />8I6 ~ <br /> <br />RECEIVED <br /> r~av-r-e-2oo5 <br />APPLICATION FORM FORA REVISION Division of Mi~rels and Gedopy <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 Rule 1.04(73), <br />technical revisions, as defined in Rule 1.04(136), and permit revisions, as 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 />tat?les and/or figures, with a revised table of contents, if necessary. The revision submittal date should be printed <br />in the lower right corner of each revision page. A cover letter to the revision should explain the nature of the <br />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 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 - Oo7 Date: 05 / 12 / 2005 <br />Permittee: Mountain Coal Company <br />West Elk Mine <br />Street: P•O. Box 591 <br />city: Somerset <br />State: CD Zip Code: 81434 _ <br />Brief Description of Revision: COnStfUCt four (4) drill pads and IrlStail <br />four (4) Methane Drainage Wells for <br />E-Seam South Mains Development <br />Entires (one MDW per constructed pad) <br />Public Notice Attached: Yes / No J (Required for PRs and TRs) <br />Bond Increase: Yes / No Federal Non-Federal Mine <br />Proposed Change in: <br />Permit Area - <br />Disturbed (+/-) _ _ a 0 Acres <br />Permit (+/-) _ _ _ _ Acres <br />Affected (+/-) _ _ _ _ Acres <br />Mineral Ownership - <br />Mineral Private (+/-) _ _ _ . -Acres <br />Mineral Federal (+/-) _ _ _ _ Acres <br />Surface Ownership - <br />Private Land (+/-) _ _ _ . _ Acres <br />Federal Land (+/-) _ _ _ . _ Acres <br />State Land (+!-) _ _ _ _ Acres <br />Mineral State (+/-) _ _ _ _ Acres <br />