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Mk.l9~ <br />OF <br />,. <br />". COLORADO DIVISION OF MINERALS AND GEOLOGY <br />"'c ~ 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />APPLICATION FORM FOR A REVISION RFC <br />TO A COAL MINING AND RECLAMATION PERMIT O, . 1/N F~~R <br />m~,; ~ ,2 O <br />This form must be completed and submitted with all requests for minor revisions, as defined in Rule°? (73), ~c~/i~cal <br />revisions, as defined in Rule 1.04(136), and permit revisions, as defined in Rule 1.04(90). All revisions addres~ie <br />requirements of Rule 2.08.4. Three (3) copies of the revision, including maps, must be submitted in order~for6jt to be <br />complete. `oil <br />1' <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 No. 27 <br />City: Oak Creek <br />Date: January 17, 2005 <br />State: Colorado Zip Code: 80467 <br />Brief Description of Revision: Minor Revision to modify mine facility designations and <br />disturbance boundary. <br />Public Notice Attached: Yes _ No X (Required for PRs and TRs) <br />Bond Increase: Yes _ No X Federal X Non-Federal _ Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ 0. 0 Acres <br />Permit Area (+/-) <br />State Land (+/-) <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 />I:\coal\forms\Revision App <br />