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fi'?e8 COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />EIVE E) <br />two `4?j? APPLICATION FORM FOR A REVISION <br />joautation, TO A COAL MINING AND RECLAMATION PERMJT,- _;iorl, <br />c:. <br />?Yukiin9 and Saf* Mining turd Safety <br />This form must be completed and submitted with all requests for minor revisions, as defined in Rul 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 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 />a <br />Permit No.: C - 81 - 012 Date: / - /s7_ / <br />permitt": New Elk Coal Company <br />New Elk Mine <br />Street: 34115 County Road 20.8 <br />City: Trinidad <br />State: Co Zip Code: 81082 - <br />Brief Description of Revision: <br />fi &jjYL9e-- <br />Public Notice Attached: Yes - No )6 (Required for PRs and TRs) <br />Bond Increase: Yes - No & Federal - Non-Federal - Mine <br />Proposed Change in: <br />Permit Area - <br />Disturbed _Acres <br />Permit Acres <br />Affected (+/-) - - Q - - Acres <br />Mineral Ownership. - <br />Mineral Private Acres <br />Mineral Federal (+/-) - - 6) Acres <br />Surface Ownership - <br />Private Land (+/-) - - - Acres <br />Federal Land Acres <br />State Land (+/-) - - . - Acres <br />Mineral State (+/-) - - 0 . - Acres