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pF'C <br />g COLORADO DIVISION OF MINERALS AND GEOLOGY <br />': <br />'~e,s' 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 RECEIVED <br />JAN ~ i 20p7 <br />APPLICATION FORM FOR A REVISION Division otReclamation, <br />TO A COAL MINING AND RECLAMATION PERMIT Mining and Safely <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 - so - oot Date: 01 / 09 / 07 <br />Permittee: The Pittsburg and Midway Coal Mining Co. <br />Street: 116 Inverness Drive East <br />Suite 207 <br />City: Englewood <br />State: CO Zip Code: 90112 _ <br />Brief Description of Revision: Monitoring of wells 215W, 215L, 218W, <br />218L. M8925 and M892L will be <br />dicontinued in 2007. <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 (+/-) _ _ o o Acres <br />Permit (+/-) _ _ o . o Acres <br />Affected (+/_) _ _ o o gcres <br />Mineral Ownership - <br />Mineral Private (+/-) _ _ 0 , 0 Acres <br />Mineral Federal (+/-) _ _ o o Acres <br />Surface Ownership - <br />Private Land (+/-) _ _ o o gcres <br />Federal Land (+/-) _ _ o , o Acres <br />State Land (+/-) _ _ ~ ° Acres <br />Mineral State (+/-) _ _ 0 0 Acres <br />