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o!' <br />°~ "g COLORADO DIVISION OF 1~III~TERALS AND GEOLOGY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />~/~16~ <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(731, <br />technical revisions, as defined in Rule 1.04(136), and permit revisions, as defined in Rule 1.04(90). All <br />revisions are to address the requirements of Rule 2.08.4. Three (3) copies of the revision, including maps, <br />must be 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 <br />printed in the lower right corner of each revision page. A cover letter to the revision should explain the nature <br />of the 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 <br />list (except OSM) at the same time the application is submitted to the Division, and proof of distribution must <br />be submitted to the Division along with the application. Copies of revision pages modified during the review <br />process must be distributed in the same manner, along with proof of distribution. Proof of distribution must <br />be submitted prior to implementation of the revision. <br />MCCLANE CANYON MINE <br />Permit No.: C - ~n - nf]U Date: Z- / ~C> 1 <br />Permittee: (;SAND VALLEY COAL COMPANY <br />. ' RE~F~p <br />Street: ~„ (1. Rnv 7f1 >:',"~ 1 . <br />,''u ,U , <br />~.,.4r; <br />Ci uW/abn °f ~n <br />ty: LOMA Grand Juals ~Geofo~, <br />state: CO Zip Code: 81521 - 0070 "tt' <br />Brief Description of Revision: <br />Public Notice Attached: Yes ^ No ~ (Requ/red for PRs and TRs) <br />Bond Increase: Yes _ No ~ Federal ~ Non-Federal _ Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ ~ . _ Acres Affected Area (+/-) _ _ ~ <br />Permit Area (+/-) _ _ Q . _ Acres Federal Land (+/-) _ _ _~ <br />State Land (+/-) _ _ ~ . _ Acres Private Land (+/-) _ _ <br />_ Acres <br />_ Acres <br />Acres <br />