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S --R0.p <br />dS^s+- <br />`Fjl'{B'l~6 <br />COLORADO DIVISION OF MINERALS AND GEOLOGY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />APPLICATION FORM FOR A REVISION RECEIV~~ <br />TO A COAL MINING AND RECLAMATION PERMIT <br />JUN ~ 3 2005 <br />This fonn must be completed and submitted with all requests for minor revisions, as defined in Rule 1.04( 3), <br />technical revisions, as defined in Rule 1.04(136), and permit revisions, as defined in Rule 1.04(90). Ail revis'an als 6 Geology <br />are to address the requirements of Rule 2.08.4. Three (3) copies of the revision, including rr~~;oRit~~~i? <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 Date: 06 / 02 / 05 <br />Permittee: Mountain Coal Company L.L.C. <br />West Elk Mine <br />Street: P.O. Box 591 <br />city: Somerset <br />State: C~ Zip Code: 81434 _ <br />Brief Description of Revision: Minor Revision No. 309, (MR-309) <br />Additional Methane Drainage Well(MDW) <br />(24-05B) on Pad 24-05. <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 (+/-) _ _ a o Acres <br />Permit (+/-) _ _ u . o Acres <br />Affected (+/-) _ _ 0 , o 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 Acres <br />State Land (+/-) _ _ 0. 0 Acres <br />Mineral State (+/-) _ _ 0 0 gcres <br />