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aF coy <br />R° <br />,*~' ~ <br />~~~~. I COLORADO DIVISION OF MINERALS AND EOI~~GYj ~~,~ <br />~e+~ 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 86~v~}~ y~~ 0 4i L;-~ <br />_°~JP;N~"5"ZDII~___._.~ <br />Division of Rcaamation, <br />APPLICATION FORM FOR A REVISION Mining and Safety <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This form must be completed and submitted with all requests for minor revisions, as defned in Rule 1.04(73), <br />technical revisions, as defned 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. Throe (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 fgures, 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 - 1996 - 083 <br />Permittee: Bowie Resources, LLC <br />Street: P.O. Box 483 <br />City: Paonia <br />State: CO Zip Code: 81428 _ <br />Brief Description of Revision: Drill seven (7) gob vent holes and associated access <br />roads. <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 (+/-) _ + 4 . 5 Acres Private Land (+/-) _ _ 0 0 Acres <br />Permit (+/-) _ _ 0. 0 Acres <br />Affected (+/-) , _ 0. 0 Acres <br />Mineral Ownership - <br />Mineral Private (+/_) _ _ 0 0 Acres <br />Mineral Federal (+/-) _ _ 0 0 Acres <br />Date: 01 / 22 / 2007 <br />Federal Land (+/-) _ _ 0 . 0 Acres <br />State Land (+/-) _ _ 0 ~ Acres <br />Mineral State (+/-) _ _ 0 0 Acres <br />