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Fc COLORADO DIVISION OF MINERALS AND GEOLOGY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866 -3567 <br />APPLICATION FORM FOR A REVISION A Z � ?UU9 <br />TO A COAL MINING AND RECLAMATION PERMIT <br />Division ui nFSU +dinatior <br />Wining 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 />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 - 81 - 019 Date: 1 / 23 / 09 <br />Permittee: Colowyo Coal Company, L.P. <br />Street: <br />City: <br />State: <br />5731 State Highway 13 <br />Meeker <br />CO Zip Code: 81641 <br />Brief Description of Revision: PR -03 is a revision to update the permit <br />boundary to incorporate the Collom Pit area <br />which will be an addition of approximately <br />16.833.23 acres. <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 - <br />Disturbed ( + / -) 2, 2 a a 22 Acres <br />Permit ( + / -) 1 6, 8 3 3. 23 Acres <br />Affected +/- 2, 3 1 1 55 Acres <br />Mineral Ownership - <br />Mineral Private <br />Mineral Federal <br />( +/ -) 1 8 1 9 75 Acres <br />1 4, 3 7 6 48 Acres <br />Surface Ownership - <br />Private Land ( + / -) 1 3, 6 7 1 05 Acres <br />Federal Land ( + / -) 2, 5 2 5 18 Acres <br />State Land ( + / -) 6 3 7 00 Acres <br />Mineral State ( + / -) 6 3 7 00 Acres <br />