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pC <br />4 <br />:~~: COLORADO DYVISION OF MINERALS AND GEOL( III'IIIII~IIIIII III <br />1313 Sherman/Strew', Room 215, Denver, Colorado 80203, (303) 866-35 <br />=_~~~U~~ <br />APPLICATION FORM FOR A REVISION JAI1 2 5 ~g9~ <br />TO A COAL MINING AND RECLAMATION PERMIT <br />_~ ,~~;,eralsBGeology <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(901. 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 revised 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 - 81 _ 010 Date: 01 / 21 / 99 <br />Permittee: Trapper Mining Inc. <br />Street: P.O. Box 187 <br />City: Craig <br />State: CO Zip Code: 81626 - 0187 <br />Brief Description of Revision: Utility Wastes Update (MR-167) <br />Public Notice Attached: Yes No x (Required for PRs and TRsI <br />Bond Increase: Yes No x Federal X Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) Acres <br />Permit Area (+!-) Acres <br />State Land (+/-) _ _, _ _ Acres <br />Affected Area (+/-) Acres <br />Federal Land 1+/-) Acres <br />Private Land (+/-) Acres <br />