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12-21-04 05:45PM FROM-DMG GRAN6 JUNCTION FIELD OFFICE 970 241 1516 7-421 F.004/Op4 F-3t8 <br />3; <br />~' COLORADO DIVISION OF MINERALS AND GEOLOGY <br />xr • ~ 1313 Sherman Street, Room 27 5, Denver, Colorado 80203, (303) 866-3567 <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MININC3 AND RECLAMATION PERMIT <br />This form must be completed and submitted with all requests for minor revisions, as defined in Rute 1.04p3j, <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 R 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 covet letter to the revision should explain the nature of the <br />revision and reference the sper~c 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) a[ the same time the application is submitted to the Division, and proof of distdbution 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 - 1980 - ooa Date: 12 / 20 / 2004 <br />Permittee: Centel Appalachia Mining, LLC <br />McClave Canyon Mine <br />Street: P.O. Box 98 <br />City: <br />Loma <br />State: CO Zlp Code: 81524 <br />Brief Description of Revision: Incorporate new discharge permit into the mining <br />permit at Volume II, Appendix E. <br />Public Notice Attached: Yes _ No /_ (Required for PRs and TRs) <br />Bond Increase: Yes ` No i! Federal ~ Non-Federal ~ Mine <br />Proposed Change in: <br />Pemlit Area - Surface Ownership - <br />II Disturbed (+/-) _ ^ 0 . 0 Acres Private Land (+/-) _ _ 0 . 0 Acres <br />Permit (+1--) ~ _ 0. 0 Acres Federal Land (+l-) _ _ 0 . 0 Acres <br />~ Affected (+/-) _ _ ~. 0 Acres State Land (+/-) , _ 0 . 0 Acres <br />~ Mineral Ownership - <br />Mineral Private (+/-) ^ ~ 0 , 0 Acres Mineral State (+!•) ` i 0 0 Acres <br />Mineral Federal (+/_) y _.__ 0 . 0 Acres <br />