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03-03-05 01 :41 PM FROM-DMG GRAND JUNCTION FIELD OFFICE 970 241 1516 T-502 P.004/009 F-521 (~ D 2 / <br />.~ 1 1 C~J~o <br />:;• ~ COLORADO DIVISION OF MINERALS AND GEOLOGY <br />1313 Sltem,~~ Sheet, 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 Rule 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 rt to be complete. <br />All revisions are to be formatted so they can be inserted imo 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 comer of each revision page. A cover letter to the revision should explain the nature of the <br />revision and reference the specific permft sections being revised. <br />For federal mines, a copy of the revision application must be submitted to all agendes 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: 02 / 25 ! 2005 <br />Permittee: Centel Appalachia Mining, LLC <br />McClave Canyon Mine <br />Street: P•O. Box 98 <br />City:. Loma <br />State: CC Zip Code: 81524 _ <br />Brief Description of Revision: Add light use road ft3 to provide access to a power <br />meter. <br />Public Notice Attached: Yes <br />Bond Increase: Yes _ No'! <br />Proposed Change in. <br />Permit Area - <br />No /_ (Required for PRs and TRs) <br />Federal !' Non-Federal _ Mine <br />Disturbed (+/-) ~ _ 0 . 0 Acres <br />Permit (+!-) _ _ 0. 0 Acres <br />Affected (+/-) r r 0 , 0 Acres <br />Mineral Ownership - <br />Mineral Private (+/-) _ _ 0 , 0 Acres <br />Mineral Federal (+/-) _ _ 0 , 0 Acres <br />Surface Ownership - <br />Private Land (+/-) _ _ 0 0 Acres <br />Federal Land (+/-) _ _ 0 . 0 Acres <br />State Land (+!-) _ _ 0 . ~ Acres <br />Mineral State (+/-),r _ 0 0 gcres <br />