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05-31-07;12: 41 PM; <br />970 241 1516 <br />~2r{D <br />._. COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />1313 Sherman Street, Room 215, Aenver, Colorado 80203, (303) 86Cr3567 <br /># 2/ 5 <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT <br />Phis form must be completed and submitted with all requests for minor revisions, as defined in Rula 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 far It to be complete. <br />All revisions are to he 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 Iewer right comer of each revisien page. A wver letter to the revision should explain the nature of the <br />revision and reference the specttic permit sections being revised. <br />Far federal mines, a copy of the revision application must be submitted to all agencies on the federal malting list <br />(axcopl 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 applicatien. 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 - 1980 _ 004 Date: 05 / 17 i 2007 <br />Permittee: CAM Minlnp LLC <br />Street: <br />McClane Cannon Mine <br />P.O. Box 98 <br />City; Loma <br />State: CO Zip Code: 81524 <br />Brief Description of Revision: Change destination of coal mine waste from the Munger <br />rianYOn wa5t0 dispOSal oleo to an area to be permitted in <br />the future at the McClane Cannon mine, <br />Public Notice Attached: Yes,^ No / (Required forPRs and TRs) <br />Bond Increase: Yes ~. No / Federal / Non-Federal _ Mine <br />Proposed Change Vn: <br />Permit Area - <br />Disturbed (+/-) _ _ 0 . ~ Acres <br />Permit (+/-) _ _ 0 , 0 Acres <br />Affected (+/-) _ ~, 0 0 Acres <br />Mineral Ownership - <br />Mineral Private (+/-)~ _ o o Acres <br />Mineral Federal (+/-) ` _ 0 . o Acres <br />Surface Ownership - <br />Private Land (+l-) _ _ 0 . 0 Acres <br />Federal Land (+/-) _ _ o . ~ Acres <br />State Land (+/-) _ _ o . ~ Acres <br />Mineral State (+/-) _ _ 0 0 Acres <br />