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COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866 - 3567 <br />ReCeN <br />APPLICATION FORM FOR A REVISION JUN 05 ?0 <br />of rwoamatlon, <br />Mining and Safety <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 />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 />TO A COAL MINING AND RECLAMATION PERMIT <br />Permit No.: C - 80 - 005 Date: 6 /4 /12 <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 -52 Sagebrush Reference Area Reconfiguration <br />Public Notice Attached: Yes x No (Required for PRs and 1 Ks) <br />Bond Increase: Yes No x Federal x Non - Federal Mine <br />Proposed Change in: <br />Permit Mineral Surface <br />Area Ownership Ownership <br />Disturbed 0 0 Ac Private 0 0 Ac Private 0. 0 Ac <br />( + / -) ( +/ -) ( +1 <br />Permit 0 0 Ac Federal 0 0 Ac Federal 0. 0 Ac <br />( + /-) <br />( + / -) ( +1-) <br />Affected 0 0 Ac State 0 0 Ac State 0. 0 Ac <br />(+1 ( +1 ( +/ -) <br />