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06-OB-07;08:55AM; <br />970 241 1516 <br />M x-33 <br />.`~~~. COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />• ~ •' 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <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 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 for it to be complete. <br />All revisions are to be formatted so they can bo inserted into the permit to replace the revised sections, maps, <br />tables and/or figures, with a revised table of contents, 'd necessary. Tho revision submittal date should be pdnted <br />in the lower dght comer of each revision page, A cover letter to the revision should explain the nature of the <br />revision and reference the speck 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 bo distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted <br />pdar to implementation of the revision. <br />Permit No.: C - 1981 _ 020 Date: 05 / 31 (2007 <br />Permittee: CAM Mining LLC <br />Munger Canyon Mine <br />Street: P.O. Box 98 <br />City: Loma <br />State: CO Zip Code: 81524 _ <br />Brief Description of Revision: Add a provision to use a tompomry sterile cover crop on areas <br />regraded during the spring and summer of 2007. <br />Public Notice Attached: Yes _ No / (Required for PRs and TRs) <br />Bondlncrease: Yes _ No / Federal / Non-Federal _ Mine <br />Proposed Change in: <br />Permit Area - Surface Ownership - <br />Disturbed (+/-) ~ ` 0 , o Acres Private Land (+/_) _ _. 0 0 Acres <br />Permit (+!-) _ ` ~ . 0 Acres Federal Land (+/-) _ _ 0 0 Acres <br />Affected (+/-) _ W.. 0 , 0 gcres State Land (+/_) _ _ 0 , 0 Acres <br />Mineral Ownership <br />Mineral Private (+/_) ^. ~ 0 0 Acres Mineral State (+/-) _ _ 0 . 0 Acres <br />Mineral Federal (+/-) ` _ 0 , D Acres <br /> <br />