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0 • s w COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />`` 1313 Sherman Street, Room 215, Denver, Colorado 80203; -(303) 866-356 <br />•,8?6• ECEIi/E® <br />FEB 17 2010 <br />APPLICATION FORM FOR A REVISION L)ivisiu, u, meclamabon, <br />TO A COAL MINING AND RECLAMATION PERMIT Oning and Safety <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 it to be complete. <br />All revisions are tD 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 distnbution 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 -013 Date- <br />Permrttee: New Elk Coal Company, LLC <br />Golden Eagle Mine <br />Street 122 West First St. <br />City: Trinidad <br />- <br />State: C 0 Zip Code: 81082 <br />Brief Description of Revision: <br />Public Notice Attached: Yes - No (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 Acres <br />Mineral Ownership - <br />Mineral Private (+/-) - - - Acres <br />Mineral Federal Acres <br />Surface Ownership - <br />Private Land (+/-) - - - -Acres <br />Federal Land (+/-) - - - - Acres <br />State Land (+/-) - ^ - - Acres <br />Mineral State (+/-) - - - . -Acres