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STATE OF COLORADO DIVISION OF MINERALS AND GEOLOGY Depanment of Nawral Resources I J I J Sherman 51.. Room ? l i Denver. Colorado 80207 Phnne: MOlt 866.3567 ~t~-rl~iti~~ ant ' o ~sss FAx:llolt elz•ela, APPLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMAT~'~ERIIII17,n,o;, ~,GV~VC~ This form must be completed and submitted with all requests for minor revisions, as defined in Roy Rom,.. Rule 1.04(731, technical revisions, as defined in Rule 1.04(138), and permk revisions, es defined cOVe"1Or in Rule 1.04(901. All revisions are to address the requirements of Rule 2.08.4. Three (3) copies e.ecu~ o,~a of the revision, including maps, must be submitted in order for it to be complete. M~~n,el e. wng Divisbn Direcro, All revisions are to be formatted so they can be inserted into the permit to replace the revised sections, maps, tables and/or figures, with a revised table of contents, if necessary. The revision submittal date should be printed in the lower right corner of each revision page. A cover letter to the revision should explain the nature of the revision and reference the apeciflc permit sectlona being revised. For federal mines, a copy of the revision application must be submitted to all agendas on the federal mailing list at the same Ume the application it submitted to the Division, and proof of distribution must be submitted to the Division along with the application. Copies of revision pages modified during the review process moat be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted prior to implementaton of the revision. For non-federal mines, a copy of the application for which the Division has issued a proposed approval dedsion must be submitted to the OSM Western Regional Coordinating Center (1999 Broadway Blvd., Suite 3320, Denver, CO 80202-5733), end proof of submittal to OSM must be submitted to the Division prior to implementation of the revision. Permit No.: C- a l _ o l o Date: o s / 0 6 / 9 6 Permittae: TRAPPER MINING INC - _ _ _ Street: P O BOX 187 - - - - - - - - - - - - - - - City: CRAIG _ _ r State: c0` Zip Code: a15z6 Brief DeSCription Of RavisiOn: MR-145 LEGAL DESCRIPTIOt7 OF PERMIT DOUNDARY_ Public Notice Attached: Yes _ No x (Required for PRs and TRsI Bond Increase: Yes _ No x Federal _ Non-Federal _ Mine Proposed Change in: Disturbed Area (+/-) _ _ _ , o Acres Affected Area (+/-) _ _ _ . o Acres Permit Area (+/-) _ _ _ ~ Acres Federal Land (+/-) _ _ _ . o Acres State Land (+/-) _ _ _ ~ Acres Private Land 1+/-) _ _ ~ Acres m:lcoallshere\f orms\8a 65