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oF,c <br />* \ ° COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />**?g76 13 Sherman Street, Room 215, Denver, Colorado 80203 40) <br />866-3567 ?? <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), 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: Maw / 24 / 2010 <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 />Abatement of Notice of Violation No. CV-2010-002, New Horizon Mine, Permit C-81-008 Information) <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 0 Acres <br />Permit 0 Acres Federal Land 0 _ Acres <br />Affected 0 Acres State Land 0 _ Acres <br />Mineral Ownership - <br />Mineral Private Acres Mineral State -Acres <br />Mineral Federal -Acres <br />F:\Eng\DATA\W P\revisions\MR76.wpd