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~-rs <br />,' COLORADO DMSION OF MINERALS AND GEOLOGY <br />1313 Sherman Street, Room 215, Deover, Colorado 80203, (303) 866-3567 <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING ANQ RECLAMATION PERMIT <br />This form must be completed and submitted with all requests for minor revisions, as defined in Rule 1.04(73), <br />technical 2visions, 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, induding 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, 'rf necessary. The revision submittal date should be printed <br />in the lower right comer of eadr 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 agendas 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 appliption. 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: D3 / 29 / 2006 <br />Pennittee: CAM MINING LLC <br />McGlone Canyon Mine <br />Street: P.O. BOx 98 <br />~;ty,; Loma <br />State: CO Zip Code: 81624 <br />Brief Description of Revision: Permit renewal adequacy issues and an <br />incidental permit boundary revision. <br />Public Notice Attached: Yes _ No / (Required for PRs and TRs) <br />Bond Increase: Yes„ No's Federal ~ Non-Federal , Mine <br />Proposed Change in: <br />Permit Area - Surface Ownership - <br />Disturbed (+/-) _ _ 0 . 0 Acres Private Land (+/-) _ ^ 0 . 0 Acres <br />Permit (+/-) _ ± 0 . 5 Acres Federal Land (+!-) _ ± 0 . 5 Acres <br />Affected (+/-) r _ 0. 0 Acres State Land (+/-) ~ ~ 0 . ~ Acres <br />Mineral Ownership - <br />Mineral Private (+/-) _ _ 0 . 0 Acres Mineral State (+/-) _ _ 0 _ 0 Acres <br />Mineral Federal (+/_) J ± 0 , 5 Acres <br />ZE5-d 500/P00'd EBB-1 9151 14t 019 371dd0 0131d N0117NItf ONtlil9 9WOi908d Wd94~E0 90-1E-EO <br />