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COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> 1313 Sherman Street,Room 215,Denver,Colorado 80203, (303)866-3567 <br /> APPLICATION FORM FOR A REVISION <br /> TO A COAL MINING AND RECLAMATION PERMIT <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 revisions <br /> are to address the requirements of Rule 2.08.4. 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 revised 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 mines, 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 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 No.: C— 1981 — 010 Date: 6 / 12 / 2020 <br /> Permittee: Trapper Mining Inc. <br /> Street: PO Box 187 <br /> City: Craig <br /> State: CO ZIP Code: 81626 - <br /> Brief Description of Revision: PR-10 East I and J Pits Mine and Reclamation Plan <br /> Public Notice Attached: Yes ® No ❑ (Required for PRs and TRs) <br /> Bond Increase: Yes ® No ❑ Federal ® Non-Federal Mine ❑ <br /> Proposed Change in: <br /> Permit Area — Surface Ownership— <br /> Disturbed (+/-) 1 5 5 0 Acres Private Land (+/-)___ —Acres <br /> Permit (+/-)___ —Acres Federal Land (+/-)___ _Acres <br /> Affected (+/-)___ —Acres, State Land (+/-)___ _Acres <br /> Mineral Ownership— <br /> Mineral Private (+/-)___ _Acres Mineral State (+/-)___ _Acres <br /> Mineral Federal (+/-)___ _Acres <br />