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COLORADO DIVISION OF MINERALS AND GEOLOGY n <br />1313 Sherman Stree[, Roan 215, Denver, Colorado 80203, {303) 866-3567 R~r`r'rv~E " <br />MAR 14 2006 <br />APPLICATION FORM FORA REVISION ~yiy~n of Mmerais antlGwloyy <br />TO A COAL MINING AND RECLAMATION PERINIT <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 permd 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 orcler 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 andlor figures, with a revised table of contents, if necessary. The revision submittal date should be printed <br />in the lower right comer 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 OSWq 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 modifed during the review process <br />must be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted <br />pdorto implementation of the revision. <br />Permit No.: C - 96 _ 064 <br />Date: ~~ l ®~ l Zca6 <br />Permittee: Lorencito Coal Company, LLC <br />Lorencito Canyon Mine <br />Street: 34115 County Road 20.8 • <br />City: Trinidad <br />State: CO Zip Code: 81082 _ <br />Brief Description of Revision: ~ p fn I~os~ {?7ininA .lcrn~ <br />Use ~r Leirn-P~~`~~,QEI~ <br />~ H~ti Nv~)s• 7e - ~rc~_ <br />>~ , <br />Public Notice Attached: Yes No (Required for PRs and TRsJ <br />Bond Increase: Yes ~ No / Federal _ Non-Federal _ Mine <br />Proposed Change in: , <br />Permit-Area - Surface Ownership - <br />Disturbed (+!-) _ _ ©. _ Acres Private Land (+/-) _ _ ~ . _ Acres <br />Permit (+/-) _ _ G . ,Acres <br />Affected (+/-) _ _ D . _ Acres <br />Mineral Ownership - <br />Mineral Private (+/_) _ _ ` -Acres <br />Mineral Federal (+/-) _ _ _. -Acres <br />Federal Land (+/-) ~ _ ~ , ^ Acres <br />State Land (+/-) _ _ ~ . _ Acres <br />Mineral State (+/-) _ _ Q , _ Acres <br />