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•c <br />~~. , <br />h •=y <br />• COLORADO DIVISION OF MINERALS AND GEOLO <br />• ~ 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 ~C~~E~ <br />Division or keciamatbn, <br />APPLICATION FORM FOR A REVISION tulirtuig and Safety <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 far 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 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 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: 3 / 21 / 2008 <br />Permittee: Blue Mountain Energy, Inc. <br />Street: 3607 CR 65 <br />City: Rangely <br />State: CC! Zip Code: 81648 _ <br />Brief Description of Revision: 760 acre expansion of mine permit area. <br />No proposed new disturbance. <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 (+/-) _ 760 .0 Acres <br />Affected (+/_) _ 636 , 36 Acres <br />Mineral Ownership - <br />Mineral Private (+/-) _ _ _ Acres <br />Mineral Federal (+/-) _ 840.0 Acres <br />Surface Ownership - <br />Private Land (+/-) _ _ _ . _ Acres <br />Federal Land (+/-) _ 760.0 Acres <br />State Land (+/-) _ _ _ _ Acres <br />Mineral State (+/-) _ _ _ _ Acres <br />