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STATE OF COLORADO <br />/ISION OF MINERALS AND GEOLOGY ~ EC <br />ranmern of Natural Reaoun:es <br />3 sl~emon sr.. soon, its FEB ] <br />ever. Cobrado 80201 <br />ure: U031 866.3s67 <br />K: UDJI BJ2-8106 APPLICATION FORM FOR A REVISION Division of Minx <br />TO A COAL MINING AND RECLAMATION PERMIT <br />'his form must be completed and submitted with all requests for minor revisions, as defined in Ror aamer <br />lute 1.04173), technical revisions, as defined in Rule 1.04(1361, and permit revisions, as defined GO1"1° <br />n Rule 1.04190). All revisions are to address the requirements of Rule 2.08.4. Three 13) copies t ~e. o ~ad <br />of the revision, including maps, must be submitted in order for it to he complete. <br />Michael 8. La~q <br />Divifion Ouenor <br />\II revisions are to be formatted so they can be inserted irrto the permit to replace the revised <br />iections, maps, tables andlor figures, with a revised table of contents, if necessary. The revision submittal <br />late should be printed in the lower right corner of each revision page. A cover letter to the revision should <br />explain the nature of the revision and reference the spedfic permit sections being revised. <br />=or federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing <br />ist at the same time the application is submitted to the Division, and proof of distribution must be submitted <br />:o the Division along with the application. Copies of revision pages modified during the review process must <br />~e distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted <br />xior to implementation of the revision. For non-federal mines, a copy of the application for which the <br />division has issued a proposed approval decision must be submitted to the OSM Western Regional <br />coordinating Center 11999 Broadway Blvd., Suite 3320, Denver, CO 80202-57331. and proof of submittal <br />to OSM must be submitted to the Division prior to implementation of the revision. <br />Permit No.: C- 8? - 0 5 6 Date: 0 2/ 1 0 / 0 0 <br />Permittee: T W E N T Y M I L E_ C O A L _ <br />C O M P A N Y <br />- - - - - - - - - - - - - - - - <br />Street: 2 9 5 1~_ R O U T T_____ <br />C O U N T Y R O A D 2 7 <br />City: O A K_ C" R E E K <br />State: C O. Zip Code: 8 ~ ~ C>-7_ - _ _ _ _ <br />Brief Description of Revision: Extension of development mining in the 12 Right Gateroad <br />and limited mining in 12 and 13 Right Longwall Panel <br />start room. <br />Public Notice Attached: Yes X No _ (Required for PRs and TRs) <br />Bond Increase: Yes _ No X Federal Non-Federal _ Mine <br />Proposed Change in: <br />Disturbed Area (+/_) _ _ 0 0 goes Affected Area (+/_) ± 5 5 0 Acres <br />Permit Area (+/-) _ _ 0 0 Acres Federal Land (+/-) _ _ ~ , ~ Acres <br />State Land (+/_) _ _ 0 0 Acres Private Land (+/_) , _ 0 0 Acres <br />