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f COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This forth 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 comer 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 />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- 80 - 005 Date: 6 /15 /09 <br />Permittee: Seneca Coal Compare <br />Street: 377% Routt County Road 53 <br />P.O. Box 670 <br />City: Hayden <br />State: CO Zip Code: 81639 - <br />Brief Description of Revision: TR-48 Incidental Permit Boundary Change <br />Public Notice Attached: Yes x No (13eguired jorPRs and M) <br />Bond Increase: Yes , No x Federal x Non-Federal <br />Proposed Change in: <br />Permit Mineral Surface <br />Area Ownership Ownership <br />Disturbed () 2,028 7 Ac Private 0 0 Ac Private <br /> <br />Permit (-) 3,015 1 Ac Federal Q 0 Ac Federal <br /> <br />Affected 0 0 Ac State Q 0 Ac State <br /> <br />-mime <br />0 . Q Ac <br />0 . 0 Ac <br />2 . 0 Ac