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`A OF•COto <br /> 11tH_/ <br /> w <br /> ,�187 A- <br /> i <br /> COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> " 1313 Sherman Street,Room 215,Denver,Colorado 80203 ph(303) 866-3567 <br /> ate- i#1 <br /> REQUEST FOR TECHNICAL REVISION (TR) COVER SHEET <br /> File No.: M- 1979-045 Site Name: Church Pit <br /> County Jefferson TR# QS 1-1` RECEIVED (DRMS Use only) <br /> Permittee: The Lakewood Brick ad Tile Co. APR 0 7 2016 <br /> Operator(If Other than Permittee): DIVISION OF RFCLAMATION AF & Report <br /> MINING AND SAFETY No No Violations <br /> Permittee Representative: Tom Murray <br /> Please provide a brief description of the proposed revision: Revised reclamation plan to show <br /> ditch relocations as approved in Reclamation Plan, update Reclamation Plan Map to reflect ditch <br /> change and show estimated grading change to final layout. See attached packet. <br /> As defined by the Minerals Rules, a Technical Revision (TR) 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 <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 /> your request for a Technical Revision. <br /> Permit Type Required TR Fee Submitted (mark only one) <br /> 110c, 111, 112 construction X <br /> materials, and 112 quarries $216 <br /> 112 hard rock(not DMO) $175 <br /> 110d, 112d(l, 2 or 3) $1006 <br />