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COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />rt 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />TB ~ <br />rA <br />?T'??e?l-ion ou <br />0 <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 are to <br />address the requirements of Rule 2.08.4. Three (3) copies of the revision, including maps, must be submitted in order <br />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 <br />and/or figures, with a revised table of contents, if necessary. The revision submittal date should be printed in the <br />lower right corner of each revision page. A cover letter to the revision should explain the nature of the revision and <br />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 />trust 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 - 94 - 082 Date: 06 08 2009 <br />Permittee: Seneca Coal Company <br />Street: 37796 Routt County Road 53 <br />P.O. Box 670 <br />City: Hayden <br />State: CO Zip Code: 81639 - <br />Brief Description of Revision: TR-41, Wildlife Monitoring <br />Public Notice Attached: Yes x No (Requitr forPRf and TRs) <br />Bond Increase: Yes No x Federal x Non-Federal <br />Proposed Change in: <br />Permit Area <br />Disturbed <br />Permit (+/-} <br />Affected (+/- <br />) <br /> Mineral Surface <br /> Ownership Ownership <br />Q Q Acre Private 0 Q Acres Private <br />s (+/-) (+/-) <br />Q Q Acre Federal 0 0 Acres Federal <br />s (+/-) (+/-) <br />0 0_ Acre State (+/-) 0 Q Acres State (+/-) <br />8 <br />Mine <br />0 . 0 Acres <br />0 . 0 Acres <br />0 . 0 Acres