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<br />F'C <br />$ COLORADO DIVISION OF MINERALS AND GEOLOGY <br />~; <br />~, ,s ~ 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-35 <br />ECE~~E~ <br />OCT 0 4 2004 <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PER9IYPI~ao of Minerals ana ceutngy <br />• <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 corner of each revision page. A cover letter to the revision should explain the nature of the <br />revision and reference the specific pennit 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 - ~ _ - _ OSZ_ Date: 09 / 30 / 2004 <br />Permittee: Seneca Coat Company <br />Street: 36600 Routt County Road 27 <br />P.O. Box 670 <br />o;ty; Hayden <br />State: CO Zip Code: 81639 _ 0670 <br />Brief Description of Revision: Presents AS-Built Report and AS-Built <br />Drawing for Sedimentation Pond 013 <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 (+/-) _ _ 0 0 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 />Surface Ownership - <br />Private Land (+/-} ^ _ o o Acres <br />Federal Land (+/-) _ _ o o Acres <br />State Land (+/-) _ _ 0 0 Acres <br />Mineral State (+/-) i _ 0 0 Acres <br />