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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 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 corner 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.: <br />Permittee: <br />Street: <br />City: <br />State: <br />COLORADO DIVISION OF RECLAMATION, MINING AND SAFEMESEIVED <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866 -3567 <br />C _ 1,981 _ 12 <br />New Elk Coal Company, LLC <br />New Elk Mine <br />12250 Highway 12 <br />Weston <br />CO <br />Brief Description of Revision: <br />Public Notice Attached: Yesll <br />Bond Increase: Yes Non <br />Proposed Change in: <br />Permit Area - <br />Disturbed <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT <br />Zip Code: 81091 <br />( + / - )° _ _ . _ Acres <br />Permit ( + / -)0 _ _ _ Acres <br />Affected ( + / -)0 Acres <br />Mineral Ownership - <br />Mineral Private ( +1 -) 0 _ _ _Acres <br />Mineral Federal ( +/ -) 0 _ _ _ Acres <br />Date: 02 / 26 / 2013 <br />262013 <br />Divir of Reclamation, <br />Mining & Safety <br />Add a 1,280 square foot (21' x62') addition to the <br />existing employee bathhouse to provide additional <br />spdue fur d IdIty.el l,lIdllye 100111. <br />Aa{dQ a, ea r pa.rd /Su ty Stor s plot_ w / <br />RECEIVED <br />No Fl (Required for PRs and TRs) <br />Federal El Non - Federal ® Mine mAR 06 2013 <br />Surface Ownership - <br />Private Land ( +/ -) 0 <br />Federal Land <br />State Land <br />Mineral State <br />( + /_) 0 <br />( + /_) 0 <br />Dirrisiei Reclamation, <br />Mining & Safety <br />Acres <br />Acres <br />Acres <br />Acres <br />