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COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866 -3567 <br />R!CEIVOiID <br />JUN 21 2012 <br />Division of Reclamation, <br />Mining and Safety <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 />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT <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.: <br />Permittee: <br />Street: <br />City: <br />State: <br />Permit <br />C _ 1996 _ 083 <br />Bowie Resources, LLC <br />Bowie No. 2 Mine <br />P.O. Box 483 <br />Paonia <br />CO <br />Brief Description of Revision: <br />Zip Code: 81428 <br />Proposed Change in: <br />Permit Area - <br />Disturbed ( +1 -) _ _ 0 . 0 Acres <br />( +/ -) _ _ 0 . 0 Acres <br />renewal no. 3. <br />Affected (+/-)_, _ 0 . 0 Acres <br />Mineral Ownership - <br />Mineral Private ( +/ -) _ _ 0 0 Acres <br />Mineral Federal ( +/ -) _ — 0 0 Acres <br />Date: <br />06 / 18 / 2012 <br />Update various sections of the permit in response to the <br />DRMS' letter dated October 22, 2011. The letter transmitted <br />the DRMS' adequacy review for Bowie No. 2 Mine's permit <br />Public Notice Attached: Yes _ No ✓ (Required for PRs and TRs) <br />Bond Increase: Yes No ✓ Federal ✓ Non - Federal Mine <br />Surface Ownership - <br />Private Land ( +/_) _ _ 0 . 0 Acres <br />Federal Land (+1-) _ _ 0 . 0 Acres <br />State Land (-4-1-)___ _ 0 . 0 Acres <br />Mineral State ( +/ -) _ 0 0 Acres <br />