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COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> 1313 erman Street,Room 215,Denver,Colorado 80203 <br /> (303)866-3567 <br /> *' r * <br /> APPLICATION FORM FOR A REVISION <br /> To A COAL, MIMING AND RECLAMATION ATION PERMIT <br /> This fora rust be completed and submitted with all requests for minor revisions, as defined in Rule 1.0 3 , <br /> technical revisions, as defined in yule 1. 3 , and permit revisions, as defined in Rule 1.04(90). All revisions <br /> are to address the requirements of Pule 2Y03.4. Three 3 copies of the revision, including maps, must be <br /> 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 sections, maps, <br /> tables and/or figures, with a reprised table of contents, if necessary. The revision submittal date should be printed <br /> in the lower right corner of each revision page. A cover letter to the revision should explain the nature of the <br /> revision and reference the specific permit sections being revised. <br /> For federal nines, a copy of the revision application must be submitted to all agencies on the federal mailing list <br /> (except OSM) at the same time the application is submitted to the Division, and proof of distribution must be <br /> submitted to the Division ion along with the application. Copies of revision pages modified during the review process <br /> must be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted <br /> prior to implementation of the revision. <br /> Permit ,: C-- 1981 — 010 Date: 3 2019. <br /> Permittee; Trapper Mining Inc. <br /> 1 ! Y Ill I55i111!I I551151i51NNNYYY•iY�i����.......n.tl <br /> Street: PO Box 187 <br /> City: Cra i <br /> State: CoZIP Code: 81626 - <br /> Brief Description of Revision:n: TR-123 Update to the 2019 Mime and Reclamation Plan <br /> .4 i••Y•I.1 I I 1 <br /> Public N oti ce Attached: Yes M Igo F-1 (Required uire for Plus and TRs) <br /> Bond increase: Yes El No 0 Federal Z In-Federal Mire E] <br /> Proposed change in: <br /> Permit Area — Surface Ownership nershi — <br /> Distured - �..__._ .. , Acres Private Land �- - w. • ores <br /> Permit - - .�! . Acres Federal Lard - - ,�.. . !Acres <br /> Affected - �.,.�...�! , Acres State Lard - - _....,..T . Acres <br /> Mineral Ownership — <br /> ierai Primate + - ..........�....._..._.., Acres Mineral State . .., . !Acres <br /> Mineral Federal + - �. �Acres <br />