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0�" <br />COLORADO DIVISION OF RECLAMATION MINING AND SA <br />+, <br />FET <br />f VED <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 8 <br />",.fei6r <br />APPLICATION FORM FOR A REVISION DMSION OF RECLAMATION <br />TO A COAL MINING AND RECLAMATION PERMIT MININGANDSAFETY <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 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.: C - 1981 _ 038 Date: 06 / 19 / 2013 <br />Permittee. Bowie Resources, LLC <br />Brief Description of Revision: Update land ownership within and contiguous to the permit <br />boundary. <br />Public Notice Attached: Yes _ No ✓ (Required for PRs and TRs) <br />Bond Increase: Yes _ No ✓ <br />Bowie No. 1 Mine <br />Street: <br />P.O. Box 1488 <br />City: <br />Paonia <br />State: <br />CO Zip Code: 81428 _ <br />Brief Description of Revision: Update land ownership within and contiguous to the permit <br />boundary. <br />Public Notice Attached: Yes _ No ✓ (Required for PRs and TRs) <br />Bond Increase: Yes _ No ✓ <br />Federal ✓ Non - Federal _ <br />Mine <br />Proposed Change in: <br />Permit Area - <br />Surface Ownership - <br />Disturbed ( + / -) _ _ 0 . <br />0 Acres <br />Private Land ( + / -) _ <br />_ 0 0 <br />Acres <br />Permit ( + / -) _ _ 0 <br />0 Acres <br />Federal Land ( + / -) _ <br />_ 0 0 <br />Acres <br />Affected ( +/ -) _ _ 0 . <br />0 Acres <br />State Land ( + / -) _ <br />_ 0 0 <br />Acres <br />Mineral Ownership - <br />Mineral Private ( + / -) _ _ <br />0 0 Acres <br />Mineral State ( + / -) _ <br />_ 0 0 <br />Acres <br />Mineral Federal ( + / -) _ _ <br />0 . 0 Acres <br />