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•Of_t 01i <br />COLORADO DIVISION OF RECLAMATION, MINING, AND SAFETY <br />s�N 76 xi <br />—' 1313 Sherman Street, Room -115, Denver, Colorado 80203, ( 303) 866-3567 <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This form mint 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 the} can be inserted into the permit to replace the revised sections. maps, tables <br />and/or figure,,, \pith a revised table of contents. if necessary. The revision submittal date should be printed in the lo\�er <br />right corner of each reg inion page. A cover letter to the revision should explain the nature of the revision and reference <br />the "pecitic permit section" 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 pante time the application is submitted to the Division, and proof of distribution must be submitted to the <br />Division alon`. A ith the application. Copies of revision pages modified during the review process must be distributed in <br />the same manner, alone with proof of distribution. Proof of distribution must be submitted prior to implementation of the <br />revision. <br />Permit No.: C-82-056 <br />Permittee: Twentymile Coal, LLC <br />RECEIVED <br />Street: 29515 Routt County Road 27 AUG 112016 <br />Date: August 9, 2016 <br />City: Oak Creek DrviM nf� f Reclamation, <br />9 & Safety <br />State: Colorado Zip Code: 80467 <br />Brief Description of Revision: 9 -East Utility Borehole Installation (MR16-302) <br />Public Notice Attached: Yes _ No X (Required fbr PRs and 7Rs) <br />Bond Increase: Yes X No Federal X Non -Federal Mine <br />Proposed Change in: <br />Permit Area <br />Disturbed 0.0 Acres <br />Permit 0.0 Acres <br />Affected 0.0 Acres <br />Surface Ownership Mineral Ownership <br />Private Land 0.0 Acres Private Land 0.0 Acres <br />Federal Land 0.0 Acres Federal Land 0.0 Acres <br />State Land 0.0 Acres State Land 0.0 Acres <br />