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New,, <br />OF COfO? <br />o COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY 0 <br />+?* 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866?y 3 v? <br />* 1876 s t <br />-F. AAA <br />APPLICATION FORM FOR A REVISION ty <br />TO A COAL MINING AND RECLAMATION PERPOW"?gaodSat <br />This form must be completed and submitted with all requests for minor revisions, as defined in Rule 1.04(73), technical revisions, <br />as defined in Rule 1.04(136), and permit revisions, as defined in Rule 1.04(90). All revisions are to address the requirements of Rule <br />2.08.4. Three (3) copies of the revision, including maps, must be 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, tables and/or figures, <br />with a revised table of contents, if necessary. The revision submittal date should be printed in the lower right corner of each revision <br />page. A cover letter to the revision should explain the nature of the 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 <br />list (except OSM) at the same time the application is submitted to the Division, and proof of distribution 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 distribution must <br />be submitted prior to implementation of the revision. . . <br />Permit No.: C - 81 - 008 Date: May / 29 / 2008 <br />Permittee: Western Fuels-Colorado <br />Street: PO Box 628 <br />City: Nucla <br />State: CO Zip Code: 81424 <br />Brief Description of Revision: <br />Add waiver form from Mr. & Mrs. Frank Morgan to Attachment 2.03.7-1 <br />Public Notice Attached: Yes _ No x (Required for PRs and TRs) <br />Bond Increase: Yes _ No X Federal _ Non-Federal X Mine <br />Proposed Change in: <br />Permit Area - Surface Ownership - <br />Disturbed 0 Acres Private Land (+/-) 9 2 2 2 Acres <br />Permit 0 Acres Federal Land 0 Acres <br />Affected 0 Acres State Land 0 Acres <br />Mineral Ownership - <br />Mineral Private (+/-) 9 2 2 . 2 Acres Mineral State Acres <br />Mineral Federal Acres <br />F:\Eng\DATA\W P\revisions\M R73.wpd