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RE~~Y~i~ <br />COLORADO DIVISION OF MINERALS AND GEOLOGY <br />~.,~' 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 ~qN 3 S 2005 <br />Givision of Minerals and Geolu~; <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 defned in Rule 1.04(73), <br />technical revisions, as defined in Rule 1.04(136), and permit revisions, as defined in Rule 1.04(90). All revisions <br />are to address the requirements of Rule 2.08.4. Three (3) copies of the revision, including maps, must be <br />submitted in order for it to be complete. <br />All revisions are to be formatted so they can be inserted into the permd to replace the revised sections, maps, <br />tables and/or figures, with a revised table of contents, if necessary. The revision submittal date should be printed <br />in the lower right corner of each revision page. A cover letter [o the revision should explain the nature of the <br />revision and reference the specific permit sections being revised. <br />For federal mines, a copy of the revision application must be sutxnitted to all agencies on the federal mailing list <br />(except OSM) at the same time the application is subnitted to the Division, and proof of distribution must be <br />submitted to the Division along with the application. Copies of revision pages modified during the review process <br />must be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted <br />prior to implementation of the revision. <br />Permit No.: C - 81 - Ote Date: 1 / 31 / 05 <br />Permittee: Colowyo Coal Company, L.P. <br />street: 5731 State Highway 13 <br />cny: <br />Meeker <br />State: CO Zip Code: 81641 _ <br />Brief Description of Revision: Raptor PrOteCtlOn Schedule <br />Public Notice Attached: Yes _ No J (Required for PRs and TRs) <br />Bond increase: Yes No / Fetleral / Non-Federal Mine <br />Proposed Change in: <br />Permit Area - Surface Ownership - <br />Disturbed (+/-) o _ _ o Acres Private Land (+/-) o _ _ o Acres <br />Permit (+/-) o _ _ . o Acres Federal Land (+l-) o _ _ o Acres <br />Affected (+/-) 0 _ _ o Acres State Land (+/-) 0 _ _ 0 Acres <br />Mineral Ownership - <br />Mineral Private (+/-) ~ _ _ ~ Acres Mineral State (+/-) 0 _ _ 0 Acres <br />Mineral Federal (+/-) 0 _ _ 0 Acres <br />