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COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />RECEIVED <br />and APPLICATION FORM FOR A REVISION E <br />"'"'M?n??9 s TO A COAL MINING AND RECLAMATION PERMIT 2 ZOOS <br />Divisju(I ui r<eciamation, <br />This form must be completed and submitted with all requests for minor revisions, as defined inWelegl pd ety <br />technical revisions, as defined in Rule 1.04(136), and permit revisions, as defined in Rule 1.04(90). Al 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 />Al 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 comer 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- 1981 - 035 Date: 12 / 16 / 2008 <br />Permittee: GCC Energy, LLC <br />Street: 4424 County Road 120 <br />City: Hesperus <br />State: CO Zip Code: 81328 - 9545 <br />Brief Description of Revision: TR-16 : Map "King II-005 Mine Plan" Update <br />Public Notice Attached: Yes X No _ (Required for PRs and TRs) <br />Bond Increase: Yes _ No X Federal X Non-Federal _ Mine <br />Proposed Change in: <br />Permit Area - Surface Ownership - <br />Disturbed 0 . o Acres Private Land 0 0 Acres <br />Perm it 0 0 Acres Federal Land 0 Acres <br />Affected o Acres State Land 0 Acres <br />Mineral Ownership - <br />Mineral Private 0 Acres Mineral State 0 0 Acres <br />Mineral Federal (+/-) 0 . 0 Acres