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STATE OF DIVISION OF MINERALS AND GEOLOGY Depanmenl of Natural Resources 111 l Sherman 51., Room 215 Denver, ColoraAo 80203 Phone: 13031 866-1567 RECEIVED ~6T 1 ~ 19' FAX: 17071932-9106 APPLICATION FORM FOR~:/iEf~/ ten of Min°Ye1a ~ TO A COAL MINING AND RECLAMAT~RMIT pi•lolan ur mlhllrglg ~ QBBIg@ This form must be completed and submitted with all requests for minor revlsl~ns, as defined in Rule 1.04(73), technical revisions, es defined in Rule 1.04(1361, end permit revisions, as defined in Rule 1.04(901. All revisions are to address the requirements of Rule 2.08.4. Three 131 copies of the revision, including maps, must be submitted in order for it to be complete. lames 5. Lochhead Exttutive Director Michael B. Long Division Dirtttor 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 ha 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 specific permit sections being revised. For federal mines, a copy of the revision application must be submitted to ell agencies on the federal mailing list at the same time the application is 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 must be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted prior to implementation of the revision. For non-federal mines, a copy of the application for which the Division has issued a proposed approval decision must be submitted to the OSM Western Regional Coordinating Center (1999 Broadway Blvd., Suite 3320, Denver, CO 80202-57331, and proof of submittal to OSM must be submitted to the Division prior to implementation of the revision. Permh No.: C- B 1 _ 0 ]. 0 Date: 1 0 / 1 5 / 9 6 Permlttee: TRAPPER MINING INC - - - - - - - - - - - - - - - - - - - - - - -- - - - - -- - - Street: P O BOX 187 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Clty: CRAIG _____________ State: ~0 _ Zip Code: 81626 _ _ _ _ Brief D@SCrlptlOn Of ReVISIOn: DOZER BASINS AND STOCK PONDS (TR_73) Public Notice Attached: Yes x No ~ (Required for PRs and TRsI Bond Increase: Yes Proposed Change in: No X Federal Disturbed Area (+/-) _ _ _ _ Acres Permit Area (+/-) _ _ _ _ Acres State Land (+/-) _ _ _ _ Acres Non-Federal Mine Affected Area (+/-) _ _ _ _ Acres Federal Land (+/-) _ _ _ _ Acres Private Land (+/-) _ _ _ _ Acres m: \coal\sharelforms\8865 Roy Renter Govermr