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Oq/10/02 WED 09:38 FA% 9702411518 <br />._., , ._ _ _ ._ ._ ~. .-.. Minerals & Geology G Jct " i'i12 (ay X1002 <br />~+13/o z <br />COLORADO I~`IVISIDN OF MINERr+liLS AND GEOLOGY <br />t3J3 Shermaa Saerr, Roam 215, Denver, Colorado 80203, (303) Sbfr35b7 <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This form must be completed end submitted with all requests for minor revisions, as defined in Rule 1.04(791, <br />technical revisions. as defined in Aide 1.041136), and permit revisions, as defined in Rule 1,04(90). All <br />revisiens are to address the requirements of Rule 2.D8.4. Three (3) copies of the revision, Including maps, <br />must be submitted in order for it to be completa- <br />All revisions are to be formatted so they can be inserted into the permit to replace the revised sections, maps, <br />tables andlor figures, with a revised table of convents, if necessary. The revision submittal date should be <br />printed in tlw lower right comer 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 m all agencies on the federal mai)ing <br />fist iexcept OSM) at the same time the application is submitted to the Division, and proof of distribution must <br />be submitted m the Divisioh along with the apprieatfon. Copies of rev~ion pages modlFrad during the review <br />process must be dism'buted ih the same manner, along with proof of distribution. Proof of distribution moat <br />be submitted prior to implementation of the revision: <br />Permit No.: C • 1981 - 018 Date: f)4 / 03 / 0~ 02 <br />Permittee: BLUE MOUNTAIN ENERGY, INC. <br />Street: 3607 CR 65 <br />Cit1r: RANGELY <br />State: CO Zip Code: 81648 <br />Brief Description of Revision: Shortening of RP-5B undisturbed area diversion ditch. <br />Publia Notice Attached: Yes ^ No ,~ (Required for PRs and 7Rs/ <br />Bond Increase: Yes __._ No ZC Federal X Non-Federal _ Mine <br />Proposed Change in: <br />Disturbed Area I+/-) _ _ 0 0 Acres <br />Permit Area {+/•) _ ~ 0 0 Acres <br /> <br /> <br />State Land <br /> <br />~(+/-) _ <br /> <br />_ 0 <br /> <br />0 Affected Area (+/-) -. _ 0 0 Acres <br />Federal Land (+/-) _, _ ~ 0 Acres <br />Acres private Land (+/-l r _ 0 0 Acres <br />