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• <br />COLORADO DIVISION OF MINERALS AND GEOLOGY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866 -3567 <br />RECFIVE0 <br />APPLICATION FORM FORA REVISION JUL. 1 6 M 11 <br />TO A COAL MINING AND RECLAMATION PERMIT Division Qr rwci i latjOf1, <br />Mining and Safely <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 are to <br />address the requirements of Rule 2.08.4. Three (3) copies of the revision, including maps, must be submitted in <br />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, tables <br />and /or figures, with a revised table of contents, if necessary. The revision submittal date should be printed in the <br />lower right corner of each revision page. A cover letter to the revision should explain the nature of the revision and <br />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 - 92 - 081 Date: 07 /15 /2011 <br />Permittee: Hayden Gulch Terminal, LLC <br />P.O. Box 670 <br />Street 37796 Routt County Road 53 <br />City: Hayden <br />State: CO Zip Code: 81639 - 0670 <br />Brief Description of Revision: PR -01 adds the Tie - Across Haul Road to the HGL permit area. <br />Public Notice Attached: Yes X No (Required for PRr and TRr) <br />Bond Increase: Yes X No Federal Non - Federal X Mine <br />Proposed Change in: <br />Disturbed Area ( +) 9 6 . 6 Acres Affected Area ( +/ -) 0 . 0 Acres <br />Permit Area ( +) 2 1 4 . 7 Acres Federal Land ( + / -) 0 . 0 Acres <br />State Land ( +) 5 6 . 1 Acres Private Land ( +) 1 5 8 . 6 Acres <br />