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COLORADO DIVISION OF MINERALS AND GEOLOGY <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 form must be completed and submitted with all requests for minor revisions, as defined in Rule 1.04(73), technical <br />revisions, as defined in Rule 1.04(136), and permit revisions, as defined in Rule 1.04(90). All revisions are to address the <br />requirements of Rule 2.08.4. Three (3) copies of the revision, including maps, must be submitted in order for it to be <br />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 lower <br />right corner of each revision page. A cover letter to the revision should explain the nature of the revision and reference <br />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 (except <br />OSM) at the same time the application is submitted to the Division, and proof of distribution must be submitted to the <br />Division along with the application. Copies of revision pages modified during the review process must be distributed in <br />the same manner, along with proof of distribution. Proof of distribution must be submitted prior to implementation of <br />the revision. <br />Permit No.: C - 94 - 082 Date: 10 /10 /2012 <br />Permittee: Seneca Coal Company LLC <br />P.O. Box 670 Itt v <br />Street: 37796 Routt County Road 53 1 <br />OC� \am CP' <br />ER 's Ee � ! •City: Hayden v`J\s`o; � � & sa <br />State: CO Zip Code: 81639 - 0670 M <br />Brief Description of Revision: MR - 40 updates permanent features and disturbed areas <br />Public Notice Attached: Yes No X (Required for PRs and TRs) <br />Bond Increase: Yes No X Federal X Non - Federal Mine <br />Proposed Change in: <br />Disturbed Area ( + / -) 0 . 0 Acres Affected Area ( + / -) 0 . 0 Acres <br />Permit Area ( + / -) 0 . 0 Acres Federal Land (+1-) 0 . 0 Acres <br />State Land (+1-) 0 . 0 Acres Private Land ( + / -) 0 . 0 Acres <br />