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<br />COLORADO DIVISION OF MINERALS AND GEOLOG7 III IIIIIIIIIIIII III <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />999 <br />APPLICATION FORM FOR A REVISI~N I OCT 7 <br />TO A COAL MINING AND RECLAMATION ER IT <br />DIV. OF MINERALS <br />8 GEOLOGY <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 <br />revisions are to address the requirements of Rule 2.08.4. Three (3) copies of the revision, including maps, <br />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 revision sections, maps, <br />tables and/or figures, with a revised table of contents, if necessary. The revision submittal date should be <br />printed in the lower right corner of each revision page. A cover letter to the revision should explain the nature <br />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 - 80 001 Date: 10 / 6 / 98 <br />Permittee: The Pittsbure & Midwav Coal Mining Co. <br />Street: P.O. Box 176 <br />City: Oak Creek <br />State: CO Zip Code: 50467 - <br />Brief Description of Revision: Update surface and coal ownership information <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 <br />Permit Area (+/-)_ _ 0 . 0 Acres <br />State Land (+/-) _ _ 0 . 0 Acres <br />Affected Area (+/-)_ _ 0 . 0 Acres <br />Federal Land (+/-)_ _ 0 . 0 Acres <br />Private Land (+/-)_ _ 0 . 0 Acres <br />