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J? uL / t -/ 61 ? , ?Lt: \ iw - ?- u u t c?.v l tom( . i. 1 t lv ?j(?( citfi:c C fT yV /X? f ?p l <br />J` p4 c / ?Cr <br />o ?$ COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />•,a,b• 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-356,7 <br />10 <br />-- - APPLICATION FORM FORA REVISION Dw?s?a?? u? ,mac ety <br />Of" andS <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 comer 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 distribution must be submitted <br />prior to implementation of the revision. <br />Permit No.: C - 2,006 _ 85 Date: 01 / 28 /2010 <br />Permittee: Northfield Partners LLC <br />Street: 1702 S. Bellaire Street <br />City: Littleton <br />State: CO Zip Code: 80163 _ 0678 <br />Brief Description of Revision: Relocate portal 780 feet north of original location in <br />order to reduce slope. Addition of another ventilation .. <br />si oft to be locate t the s?rne OIL' <br />?haffi <br />Public Notice Attached: Yes? No ?(Required for PRs and TRs) <br />Bond Increase: Yes?? No© Federal © Non-Federal ®? Mine <br /> <br />Proposed Change in: <br />Permit Area - <br />Disturbed ? 5 Acres <br />Permit Acres <br />Affected (+/-) 2 . 5 Acres <br />Mineral Ownership - <br />Mineral Private -Acres <br />Mineral Federal -Acres <br />Surface Ownership - <br />Private Land -Acres <br />Federal Land Acres <br />State Land (+/-) _ _ _ . -Acres <br />Mineral State (+/-) _ _ _ - Acres