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oF'~ota <br />~~ `~,$ <br />COLORADO DIVISION OF MINERALS AND GEOLOG <br />* ~e,s • 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />~,,~~ ~~.~~.,,,~„~,~.,~~.~.,,~ w,,.~ ~,~~~ ~ r.~.u,.,~,~~ MAR 0 5 c~00$ <br />Division o~ ~.vciamBtlpn, <br />APPLICATION FORM FOR A REVISION MinmG and SaFaty <br />TO A COAL MINING AND RECLAMATION PERMIT <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 C R 65 <br />city: Rangely <br />State: C~ 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 for PRs and TRs) <br />Bond Increase: Yes / No _ Federal / Non-Federal _ Mine <br />Proposed Change in: <br />Permit Area - Surface Ownership - <br />Disturbed (+/-) _ _ 13.7 Acres Private Land (+/-) _ _ _ . _ Acres <br />Permit (+/-) _ _ 0 , 0 Acres Federal Land (+/-) _ _ _ . _ Acres <br />Affected (+/-) _ _ 0. 0 Acres State Land (+/-) _ _ _ _ Acres <br />Mineral Ownership - <br />Mineral Private (+/-) _ _ _ . -Acres Mineral State (+/-) _ _ _ . _ Acres <br />Mineral Federal (+/-) _ _ _ _ Acres <br />