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COLORADO DIVLSION OF MINERALS AND GE( III III'lllll'III'll <br />~• 1313 Sherman Stre ,Room 2I5, Deaver, Colorado 80203, (303) 86 999 <br />_ _ ,. ,~~1'~D <br />,i 1V~ <br />APPLICATION FORM FOR A REVISION X00`1 <br />TO A COAL MINING AND RECLAMATION P~11~ 5 " <br />c G V y~Cr. <br />Uiviswn of wanecas , <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(138), and permit revisions, as defined in Rule 1.04(90). All <br />revisions are to address the requirements of Rule 2.08.4. Three (31 copies of the revision, including maps, <br />must be submitted in order for h 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, i( necessary. The revision submittal date should be <br />printed in the lower right comer of each revision page. A cover letter to the revision should explain the nature <br />of the revision and reference the specific permk sections being revised. <br />For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing <br />fist (except OSM) at the same time the application is submitted to the Division, and proof of d~stritxrtion must <br />be submitted to the Division along with the application. Copies of revision pages mod'~ed during the review <br />process must be dstnbuted in the same manner, along with proof of distribution. Proof of distribution must <br />be submitted prior to implementation of the revision. <br />Permit No.: C - B1 - 010 Date: 10 / LO / O1 <br />Parmfttee: Trapper Mining Inc. <br />Street: P.0. Box 187 <br />cjty; Craig <br />State: c0 Zip Code: 81626 - 0127 <br />Brief Description of Revislon• rut-181, Officers, Directors and Members Update <br />Public Notice Attached: Yes _ No x (Required for PRs and TRsI <br />Bond Increase: Yes No x Federal x Non-Federal Mine <br />Proposed Change In: <br />Disturbed Area (+/-) o . 0 Acres <br />Permit Area (+/-) 0 . 0 Acres <br />State Land ~I+/-} _ _ 0 , 0 Acres <br />Affected Area 1+/-) _ _ 0 0 Acres <br />-Federal Land (+/-) 0 0 Acres <br />Privets Lsnd 1+/-) 0 0 Acres <br />