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LORADO DIVISION OF MINERALS AND GEOLOGY <br />313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866 -3567 <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT RE <br />��' 2.013 <br />This form must be completed and submitted with all requests for minor revisions, as define &Iii <br />Rule 1.04(73), technical revisions, as defined in Rule 1.04(136), and permit revisions, as de tan c. 7' �mation, <br />Rule 1.04(90). All revisions are to address the requirements of Rule 2.08.4. Three (3) copies o l ,;., -faty <br />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 <br />sections, maps, tables and /or figures, with a revised table of contents, if necessary. The revision <br />submittal date should be printed in the lower right corner of each revision page. A cover letter to <br />the revision should explain the nature of the revision and reference the specific permit sections <br />being revised. <br />For federal mines, a copy of the revision application must be submitted to all agencies on the <br />federal mailing list (except OSM) at the same time the application is submitted to the Division, <br />and proof of distribution must be submitted to the Division along with the application. Copies of <br />revision pages modified during the review process must be distributed in the same manner, along <br />with proof of distribution. Proof of distribution must be submitted prior to implementation of the <br />revision. <br />Permit No.: C - 94 - 082 Date: 01 /08 /2013 <br />Permittee: Seneca Coal Company <br />P.O. Box 670 <br />Street: 37796 Routt County Road 53 <br />City: Hayden <br />State: <br />CO Zip Code: 81639 - 0670 <br />Brief Description of Revision: I' R - 52 requests land use change at Round -about area <br />Public Notice Attached: Yes X No (Required for PR.r and Ths) <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 ( + / -) 0 . 0 Acres <br />State Land ( + / -) 0 . 0 Acres Private Land ( + / -) 0 . 0 Acres <br />