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COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />• �,,,� 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866 -3567 <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT <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 - 1,992 - 80 Date: 07 / 31 12013 <br />Permittee: Oakridge Energy, Inc. <br />Street: 4613 Old Jacksboro Highway RECEIVED <br />AUG 3 G 2013 <br />City: Wichita Falls OMSIC)N OF RECLAW71ON <br />��� <br />State: TX Zip Code: 76302 _ 2921 MINING w <br />Brief Description of Revision: Response to Notice of Violation, CV- 2013 -005 <br />Public Notice Attached: <br />Yes❑✓ <br />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 />0 0 <br />Surface Ownership - <br />Disturbed ( + / -) _ <br />_ <br />Acres <br />Private Land ( + / -) _ _ <br />0.0 Acres <br />Permit ( + / -) _ — <br />0.0 <br />Acres <br />Federal Land ( + / -) _ _ <br />0.0 Acres <br />Affected ( + /_) — _ <br />0.0 <br />Acres <br />State Land ( + /_) _ _ <br />0 0 Acres <br />Mineral Ownership - <br />Mineral Private ( + /_) <br />_ _ <br />0 0 Acres <br />Mineral State ( + / -) _ _ <br />0 0 Acres <br />Mineral Federal ( + / -) <br />_ _ <br />0 , 0 Acres <br />