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pf'C <br />4Q'/ <br />COLORADO DIVISION OF MINERALS AND GEOLOGY <br />~'e7 ~ 1313 Sherman Street, Room 2I5, 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), 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 they can be inserted into the permit to replace the revised sections, maps, tables <br />and/or figures, with a revised table of contents, if necessary. The revision submittal date should be printed in the lower <br />right comer of each revision page. A cover letter to the revision should explain the nature of the revision and reference <br />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 (except <br />OSM) at the same time the application is submitted to the Division, and proof of distribution must be submitted to the <br />Division along with the application. Copies of revision pages modified during the review process must be distributed in <br />the same manner, along 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 Company <br />Street: 29515 Routt County Road 27 <br />City: Oak Creek <br />State: Colorado <br />Zip Code: 80467 <br />Date: September 18, 2006 <br />Brief Description of Revision: Coal Fines Discharge Clean-up Plan(MR06-211) <br />Public Notice Attached: Yes _ <br />Bond Increase: Yes X No <br />Proposed Change in: <br />Disturbed Area (+/-) <br />Permit Area (+/-) <br />State Land (+/-) <br />No X (Required for PRs and TRs) <br />Federal X Non-Federal Mine <br />2_2 Acres <br />0. 0 Acres <br />0 . 0 Acres <br />Affected Area (+/-) 0.0 Acres <br />Federal Land (+/-) 0.0 Acres <br />Private Land (+/-) 0.0 Acres <br />C:\Documents and Settings\dih\Local Settings\Temporary Internet Files\OLK3FUNR06-211 DMG App Form Rl.doc <br />