2013-03-01_REVISION - C1982056 (4)

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MAR 0 4\203 5% 41601 n9 8, Saf et- This form must be completed and submitted with all requests for minor revisions, as defined in Rule 1.04(79',, echnical revisions, as defined in Rule 1.04(136), and permit revisions, as defined in Rule 1.04(90). All revisions are to address the requirements of Rule 2.08.4. Three (3) copies of the revision, including maps, must be submitted in order for it to be complete. Permit No.: C- 82-056 Permittee: Twentymile Coal, LLC Street: 29515 Routt County Road No. 27 City: Oak Creek State: Colorado Public Notice Attached: Yes X Proposed Change in: Permit Area Disturbed 0.0 Acres Permit 80.0 Acres Affected 330.0 Acres Surface Ownership Private Land 80.0 Acres Federal Land 0.0 Acres State Land 0.0 Acres COLORADO DIVISION OF MINERALS AND GEOLOGY 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866 -3567 AC0 010 3 APPLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMATION PERMIT All revisions are to be formatted so they can be inserted into the permit to replace the revised sections, maps, tables and /or figures, with a revised table of contents, if necessary. The revision submittal date should be printed in the lower right corner of each revision page. A cover letter to the revision should explain the nature of the revision and reference the specific permit sections being revised. For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing list (except OSM) at the same time the application is submitted to the Division, and proof of distribution must be submitted to the Division along with the application. Copies of revision pages modified during the review process must be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted prior to implementation of the revision. Zip Code: 80467 Brief Description of Revision: WMD Panel Extension (TR13 -82) No (Required for PRs and TRs) Bond Increase: Yes No X Federal X Non - Federal Mine Mineral Ownership Private Land 40.0 Acres Federal Land 40.0 Acres State Land 0.0 Acres Date: February 28, 2013