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oF'? to <br />"' COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />y R 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-35,6j. <br />«'? f876 ? a <br />CFjVED <br />FE8 012010 <br />APPLICATION FORM FOR A REVISION Division ,,eciamation, <br />TO A COAL MINING AND RECLAMATION PERMIT Mining 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 - 2,006 _ 85 Date: 01 / 28 /2010 <br />Permittee: Northfield Partners LLC <br />Street: 1702 S. Bellaire Street <br />City: Littleton <br />State: CO Zip Code: 80163 _ 0678 <br />Brief Description of Revision: Relocate portal 780 feet north of original location in <br />order to reduce slope. Addition of another ventilation <br />sl idft to be located at to ie same site as tl it: o, igii icil <br />shaft. <br />Public Notice Attached: Yes®? No (Required for PRs and TRs) <br />Bond Increase: Yes? No ?® Federal D Non-Federal ®? Mine <br />Proposed Change in: <br />Permit Area - Surface Ownership - <br />Disturbed (+/-)0 Acres Private Land (+/-) 0 -Acres <br />Permit (+/-)0 Acres Federal Land (+/-) 0 Acres <br />Affected (+/-)0 Acres State Land (+/-) o Acres <br />Mineral Ownership - <br />Mineral Private (+/-) 0 -Acres <br />Mineral Federal (+/-) 0 -Acres <br />?artinn l i • N l / / <br />Mineral State (+/-) 0 _ _ -Acres