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01-03-08;01:42PM; <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 9.04(73), <br />technical revisions, as defined in Rule 9.04(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 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 printed <br />in the lower right corner 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 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 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 - 004 Date: 12 / 24 / 2007 <br />Permittee: McClane Canyon Mining, LLC <br />McClane Canvon Mine <br />Street: P.O. Box 98 <br />City: Loma <br />State: CO Zip Code: 89524 <br />Brief Description of Revision: The proposed revision will provide for the construction <br />of a new coal mine waste disposal area.topsoil stockpile <br />coverfill pile, and new sediment pond. <br />Public Notice Attached: Yes ? No _ (Requirsd for PRs and TRs) <br />Bond Increase: Yes ? No _ Federal V Non-Federal _ Mine <br />Proposed Change In: <br />Permit Area <br />Disturbed + 4 75 Acres <br />Permit 0 . 0 Acres <br />;970 241 1516 # 4/ 5 <br />c?v 12 Zy 107 <br />COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY D?nS <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />Affected + 4 . 75 Acres <br />Mineral Ownership <br />Mineral Private _q.. L Acres <br />Surface Ownership <br />Private Land 0 . 0 Acres <br />Federal Land o a Acres <br />State Land 0 . 0 Acres <br />Mineral State (+/-) 0 . Acres <br />Mineral Federal (+/-) _ _ 0 . 0 Acres