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:' ?g COLORADO DIVISION OF MINERALS AND GEOLOGY' b <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />,a <br />S? <br />y ?, f?a1 <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 defined 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 permit 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 to 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 submitted to all agencies on the federal mailing list <br />(except OSM) at the same time the application is submitted 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 distributlon must be submitted <br />prior to implementation of the revision. <br />Permit No.: C - 81 - 019 Date: 12 / 22 / 09 <br />Permittee: Coloviryo Coal Company, L.P. <br />Street: 5731 State Highway 13 <br />City: Meeker <br />State: CO Zip Code: 81641 - <br />Brief Description of Revision: TR-84 addresses Stipulation 13 from TR-72/ <br />RN-05 regarding establishment of Tall Shrub/ <br />Aspen planting areas. <br />Public Notice Attached: Yes ? No _ (Required for PRs and TRs) <br />Bond Increase: Yes - No/ Federal ? Non-Federal - Mine <br />Proposed Change In: <br />Permit Area - <br />Disturbed 0 , 0 Acres <br />Permit 0 , 0 Acres <br />Affected 0 , 0 Acres <br />Mineral Ownership - <br />Mineral Private 0 . Acres <br />Mineral Federal 0 0 Acres <br />Surface Ownership - <br />Private Land 0 0 Acres <br />Federal Land 0 , 0 Acres <br />State Land 0. 0 Acres <br />Mineral State (+/-) _ - 0 . 0 Acres