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F C <br />`,. COLORADO DIVISION OF MINERALS AND GEOLOGY <br />~,,, ` 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />RFl'F1~/gyp <br />APPLICATION FORM FOR A REVISION ~ 2 8 2004 <br />TO A COAL MINING AND RECLAMATION PERMIT Diyisi~noiMineralsandfeology <br />This form must be completed and submitted with all requests for minor revisions, as defined in Rule 1.04(73), <br />technics! 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 andlor 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 tt;e federal mailing list <br />(except OSM) atrhe 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 dur,~g the review process <br />must be distributed in the same manner, along with proof of disribution. Proof of distribution must be.submitted <br />prior to implementation of the revision. <br />Permit No.: C - 80 - 007 Date: 04 / 23 / 04 <br />Permittee: Mountain Coal Company L.L.C. <br />West Elk Mine <br />Street: P.O. Box 591 <br />C;ty; Somerset <br />State: CO Zip Code: 81434 _ <br />Brief Description of Revision: Minor Revision IVO. 302 (MR-302) <br />Annual Operating Plan 2004, for Methane <br />Drainage Well (MDW) Drilling Project <br />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 o Acres <br />Surface Ownership - <br />Private Land (+/-) _ _ o o Acres <br />Permit (+/-)_ _ o, o Acres <br />Affected (+/-) _ _ 0 , o Acres <br />Mineral Ownership - <br />Mineral Private (+/-) _ _ 0 0 Acres <br />Mineral Federal (+/-) _ _ 0 0 Acres <br />Federal Land (+/-)_ _ o, o Acres <br />State Land (+/-) _ _ o . ~ Acres <br />Mineral State (+/-) _ _ 0 0 Acres <br />