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pf'C <br />RC <br />:~ COLORADO DIVISION OF MINERALS AND GEOLOG~E(;~0~/~D <br />'ros' ]313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />I I n-2-~-[u0~1 <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT <br />Division 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 fonnatted 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 - 1981 - 047 Date: 07 / 22 / 2004 <br />Permittee: Minrec, Inc. <br />Blue Ribbon Mine <br />Street: 2768 Compass Drive, Suite 101 <br />city: Grand Junction <br />State: CO Zip Code: $1506 _ <br />Brief Description of Revision• Incorporate right of entry information into the permit. <br />Public Notice Attached: Yes _ No / (Required forPRs and TRs) <br />Bond Increase: Yes _ No ~ Federal ~ Non-Federal _ Mine <br />Proposed Change in: <br />Permit Area - <br />Disturbed (+/-) _ _ 0 . 0 Acres <br />Surface Ownership - <br />Private Land (+/-) _ _ 0 0 Acres <br />Permit (+/-) _ _ 0. 0 Acres <br />Affected (+/_) _ _ 0 . 0 Acres <br />Mineral Ownership - <br />Mineral Private (+/_) _ _ 0 0 Acres <br />Mineral Federal (+/-) _ ` 0 . 0 Acres <br />Federal Land (+/-) _ _ 0 . 0 Acres <br />State Land (+/-) _ _ 0 . ~ Acres <br />Mineral State (+/-) _ _ 0 0 Acres <br />