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Vendor#�t J~O S Batch# Approver r}t,-;,) (ZgzEw.� (Print Name) Date/0 <br /> Contract/PO# Amount 02 (o•W ❑Invoice Has Multiple Codes <br /> GL# PL# 0rg#S5$�l!o 0bj# (i :�00 8.- <br /> � �; #; COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> * e „y 1313 Sherman Street,Room 215,Denver,Colorado 80203 ph(303)866-3567 <br /> REQUEST FOR TECHNICAL REVISION(TR)COVER SHEET <br /> File No.: M- 1177 -313 Sitc Name: -cN K 1 NS <br /> County 60 L&1_b E_R_ TR# (DW Use only) <br /> Permittee: C I T Y o f 6 ou L.-b 0_,2 <br /> Operator(If Other than Permittee): TR03 <br /> Permittee Representative: ��E�-�Y ��ss C-o—e qCt+ <br /> Please provide a brief description of the proposed revision: <br /> I <br /> I <br /> As defined by the Minerals Rules,a Technical Revision JR) is:"a change in the permit or application <br /> which does not have more than a minor effect upon the approved or proposed Reclamation or <br /> Environmental Protection Plan." The Division is charged with determining if the revision as submitted j <br /> meets this definition. if the Division determines that the proposed revision is beyond the scope of a TR, <br /> the Division may require the submittal of a permit amendment to make the required or desired changes <br /> to the permit. <br /> The request for a TR is not considered"filed for review" until the appropriate fee is received by the <br /> Division(as listed below by permit type). Please submit the appropriate fee with your request to <br /> expedite the review process. After the TR is submitted with the appropriate fee,the Division will <br /> determine if it is approvable within 30 days. If the Division requires additional information to approve a <br /> TR,you will be notified of specific deficiencies that will need to be addressed. If at the end of the 30 <br /> day review period there are still outstanding deficiencies,the Division must deny the TR unless the <br /> permittee requests additional time, in writing,to provide the required information. <br /> There is no pre-defined format for the submittal of a TR; however, it is up to the permittee to provide <br /> sufficient information to the Division to approve the TR request, including updated mining and <br /> reclamation plan maps that accurately depict the changes proposed in the requested TR. <br /> Required Fees for Technical Revision by Permit Type- Please mark the correct fee and submit it with <br /> j <br /> r request for a Technical Revisi <br /> mit Tyne Required TR Fee Submitted lark only one) <br /> c, 111, 112 constructionerials,and 1 12 quarries $216 <br /> 112 hard rock (not DMO) $175 <br /> I IOd. 112d(l.2 or 3) $1006 F <br /> ✓ Compliance <br /> ✓ 1 Violation -MV-1995-048 <br />