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op c~ <br />`~''~ $ <br />_~~. COLORADO DIVISION OF MINERALS AND GEOLOGY <br />~e,e • 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />D <br />APPLICATION FORM FOR A REVISION MAY 2 7 2(103 <br />TO A COAL MINING AND RECLAMATION PERMIT <br />Givision of Minerals and Geology <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 />tables and/or figures, with a revised table of contents, if necessary. The revision submittal date should be 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 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 - 007 <br />Permittee: Mountain Coal Com <br />West Elk Mine <br />Street: <br />City: <br />State: <br />L.L.C. <br />Date: 05 / 22 / 03 _ <br />P.O. Box 591 <br />Somerset <br />CO Zip Code: $1434 <br />Brief Description of Revision: Minor Revision No. 295 (MR-295) <br />Annual Operating Plan 2003, for MDW <br />Drilling Project Plan, Panels 16-24. <br />Public Notice Attached: Yes No /. (Required for PRs and TRs) <br />Bond Increase: Yes / No _ Federal !' Non-Federal _ Mine <br />Proposed Change in: <br />Permit Area - <br />Disturbed (+/-) _ _ is 5 Acres <br />Permit (+/-)_ _ o. o Acres <br />Affected (+/-) _ _ 15 a Acres <br />Mineral Ownership - <br />Mineral Private (+/-) _ _ ~ . ~ Acres <br />Mineral Federal (+/-) _ _ 0 0 Acres <br />Surface Ownership - <br />Private Land (+/-) _ _ o o Acres <br />Federal Land (+/-) _ _ o o gcres <br />State Land (+/-) _ _ 0 ~ Acres <br />Mineral State (+/-) _ _ 0 _ Acres <br />