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Permit No.: <br />Permittee: <br />Street: <br />City: <br />State: <br />COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866 -3567 <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 distribution must be submitted <br />prior to implementation of the revision. <br />C - 1981 _ 041 <br />Snowcap Coal Company, Inc. <br />Roadside Portals <br />P.O. Box 1430 <br />Palisade <br />CO <br />Brief Description of Revision: <br />F1 iEO <br />jul. <br />APPLICATION FORM FOR A REVISION V� i � <br />e ctat. <br />TO A COAL MINING AND RECLAMATION PERMIT ppintng and SJ <br />Zip Code: 81526 <br />Date: <br />07 / 18 / 2011 <br />Change permit boundary, exhibits, tables, etc. to reflect <br />DBMS approvals of SL -5, SL -6 and SL -7. Also revise hydro- <br />logic monitoring and the North Decline reclamation plan. <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 ( +/ - _ - 90 . 0 Acres Private Land ( +1 -) _ = 196 0 Acres <br />Permit ( + / -) _ - 230 0 Acres Federal Land ( +1 -) _ - 1 7 . 0 Acres <br />Affected ( +/ -) _ = 111 . 0 Acres State Land ( +1 -) _ <br />Mineral Ownership - <br />Mineral Private ( + / -) _ - 230. 0 Acres <br />Mineral Federal ( +1 -) _ _ 0 0 Acres <br />Mineral State <br />17 0 Acres <br />( _ _ 0 0 Acres <br />