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Rem C~~ <br />N°'", <br />~~ COLORADO DIVISION OF MINERALS AND GEOLOGY D <br />',8,6 x 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866 3567 ~~~~~~~~ <br />~__----- - _-- ---~_ - `~O <br />~~~ p 3 <br />APPLICATION FORM FOR A REVISION v~ `~ec~sa{e<`1 ~ <br />rev°''~`~ aid <br />TO A COAL MINING AND RECLAMATION PERMIT ~~~m9 <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 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 _ 018 Date: 2 / 29 / 2008 <br />Permittee: Blue Mountain Energy, Inc. <br />Street: 3607 CR 65 <br />City; Rangely <br />State: CO Zip Code: 81648 _ <br />Brief Description of Revision: Addition of 19 nitrogen injection/sampling holes <br />Addition of nitrogen generating unit with 6900' of surface <br />pipeline. Addition of breathable air miner rescue system <br />Realignment of powerline to B-Vent Shaft #2, SH-1, and RDH-3. <br />Minor changes to structures at RDH-2, RDH-3, SH-1, SH-2, & B-Vent Shaft #2 <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 (+/-) _ _ 13 7 Acres <br />Permit (+/_) _ _ 0. 0 Acres <br />Affected (+/-) _ _ 0. 0 Acres <br />Surface Ownership - <br />Private Land (+/-) _ _ _ . _ Acres <br />Federal Land (+/-) _ _ _ . _ Acres <br />State Land (+/-) _ _ _ _ Acres <br />Mineral Ownership - <br />Mineral Private (+/-) _ _ _ -Acres <br />Mineral State (+/-) _ _ _ . _ Acres <br />Mineral Federal (+/-) _ _ _ . _ Acres <br />