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. 2-22- .557 ~ Z : rJ ]Q~~ r.~uN: ~~~G. tits ~ c~~ .S aVc 57u 5255~S,Z P. d <br />~ + COLO~DO DYVISION OF ~ GEOLOGY <br />~~~. 1313 Sherman Stress. Room 215, Denver, Colorado 80203, (303) 866-3567. <br />~~I I~~I~~II~1'lllll <br />111 ~11~11~11 ~~11 ^II <br />999 <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT <br />.. <br />-, <br />This form mus[ be completed and submitted with all reques[s for minor revisions, as defined in Rule 1.04(73), <br />technical revisions, as defined in Rule 1.0411361, and permit revisions, as defined in Rule 1.04(90)., All <br />revisions are to address the requirements of Rule 2.08.4. Three (3) copies of the revision, including maps, <br />must be submitted in order for it to be complete. <br />Alt revisions are to be formatted so they can be insetted into the permit to replace the revised sections, maps, <br />tables and/or figures, with a revised [able of contents; if necessary. The revision submittal date should be <br />printed in the lower right comer of each revision page. A cover letter to the revision should explain the nature <br />of the revision and reference the specific permit sections being revised. <br />For federal mines, a copy of the revision application mus[ be submitted to all agencies on the federal mailing <br />list (except OSM) at the same time the application is submitted to the Division, end proof of distribu[ion must <br />be submitted to the Division along with the application. Copies of revision pages modified during the review <br />process must be distributed in the same manner, along with proof of distribution. Proof of distribu[ion must <br />be submitted prior to implementation of the revision. <br />Permit No.: C - 80 - 007 Date: -__12___ / I R / 97 <br />Permittee: MOUNTAIN COAL COMPANY <br />WEST ELK MINE <br />Street: P.O. BOX 591 <br />Crty: COMFRSFT <br />State: Co 2ipCade: RI[~,i5 - <br />Brief Description of Revision: <br />Public Notice Attached: Yes No X (Required for PRs and TRsI <br />Bond Increase: Yes _ No -y Federal ~ Non-Federal _ Mine <br />Proposed Change in: <br />~. Disturbed Area 1+/-) _ _ ~ . ~ Acres <br />Permit Area (+1-) _ _ 0 . ~ Acres <br />State Land (+!-) _ _ 0 . ~ Acres <br />Affee[ed Area 1+/-1 _ ~ ~ • ~ Acres <br />Federal Land (+/-) _ ~ . ~ Acres <br />Private Land (+/-) _ _ ~ . ~ Acres <br />