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)� COLO ISO DIVISION OF RECLAMA'T'ION, MINING AND SAFETY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <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 - 1984 - 065 Date: 07 / 23 2015 <br />Permittee: C.B. Minerals Company, LLC <br />Coal Ridqe No. 1 Mine <br />Street: 2352 North 7th Street, Unit B <br />City: Grand Junction <br />State: Co Zip Code: 815ul - <br />Brief Description of Revision: Change sedimentation pond reclamation deadline from <br />September 15, 2015 until April 20, 2016. <br />Public Notice Attached: Yes— No v" (Required for PRs and TRs) <br />Bond Increase: Yes No .I Federal Non -Federal J Mine <br />Proposed Change in: <br />Permit Area - Surface Ownership - <br />Disturbed (+1-} _ _ 0 0 Acres Private Land (+/-) _ _ 0 . 0 Acres <br />Permit (+/_) _ _ 0 , 0 Acres Federal Land {+1-) _ _ 0 0 Acres <br />Affected {+/-} 0 . 0 Acres State Land {+/-) _ _ 0 0 Acres <br />Mineral Ownership - <br />Mineral Private (+I-) _ _ 0 . 0 Acres Mineral State (+1-) 0 . 0 Acres <br />Mineral Federal (+1-) _ _ () 0 Acres <br />