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??OF C <br />?e COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />` 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />)A _ <br />stow <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). Al 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 distribution must be submitted <br />prior to implementation of the revision. <br />Permit No.: C - 2,009 - 87 Date: 12 / 10 /2010 <br />Permittee: Sage Creek Coal Company <br />Peabody Sage Creek Mine <br />Street: 29515 Routt County Rd. #27 <br />City. Oak Creek <br />State: Zip Code: 80467 _ <br />Brief Description of Revision: Changes to coal handling facilities layout and plan <br />JR01-10) <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 - Surface Ownership - <br />Disturbed (+/-)0 - Acres Private Land (+/-) 0 _ _ -Acres <br />Permit (+/-)0 - Acres Federal Land (+/-)L _ _ -Acres <br />Affected (+/-)0 - Acres State Land (+/-)o <br />- - -Acres <br />Mineral Ownership - <br />Mineral Private (+/-) 0 _ _ -Acres Mineral State (+/-)o <br />_ _ -Acres <br />Mineral Federal (+/-) 0 _ _ -Acres