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COLORADO DIVISION OF RECLAMATION, MINING AND SAfWq%EIVED <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />MAR 31 2009 <br />• Divib,„, w MULAamation, <br />Mining and Safety <br />APPLICATION FORM FOR A REVISION <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 i 3vision page. A cover letter to the revision should expl gin 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 p?r of of distribution. Proof of distribution must be submitted <br />prior to implementation of the revision. <br />Permit No.: C - 80 - 007 Date: 03 / 30 / 09 <br />Permittee: Mountain Coal Company L.L.C. West Elk Mine <br />0 Street: P.O. Box 591 <br />City: Somerset <br />State: CO Zip Code: 81434 - <br />Brief Description of Revision: Minor Revision No. 116, Update Permit No. C-80- <br />007, for Exploration Drilling and conversion to MDW <br />holes <br />Public Notice Attached: Yes _ No X (Required for PRs and TRs) <br />Bond Increase: Yes X No Federal X Non-Federal Mine <br />Proposed Change in: <br />Permit Area - <br />Disturbed 10. 46 Acres <br />Permit 0. Acres <br />Affected 0. Acres <br />Mineral Ownership - <br />• Mineral Private 0 . -Acres <br />Mineral Federal 10.46 Acres <br />Surface Ownership - <br />Private Land (+/-) 0 . -Acres <br />Federal Land 10.46 Acres <br />State Land 0 . -Acres <br />Mineral State (+/-) 0 . _ Acres