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M-2001-017 TR02 <br /> ~�*� COLORS�* COMPLIED! LING AND SAFETY <br /> 187 131 NO PRIOR VIOLATIONS! 866-3567 <br /> ecs, mac <br /> REQUEST FOR TECHNICAL REVISION (TR) U0 V V K SHEET <br /> File No.: M- 2001 -017 Site Name: CARBON VALLEY RESOURCE <br /> County Weld TR# (DRMS Use only) <br /> Permittee: L.G. Everist, Incorporated ocrinVED <br /> Operator(If Other than Permittee): same 1 n 91118 <br /> JUL <br /> Permittee Representative: Lynn Mayer S h U I tS ..„„S1() ,OF RECLAMATION <br /> MINING AND SAFETY <br /> Please provide a brief description of the proposed revision: <br /> Another PDC Energy, Inc. oil well has been abandoned and removed from the site - it was <br /> located in Area B along the west side. We are revising the final Reclamation Plan Map to <br /> remove the oil well peninsula and show the change. Please see attached letter and map. <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 /> I IOc, 111, 112 construction ❑ <br /> materials, and 112 quarries $216 <br /> 112 hard rock(not DMO) $175 ❑ <br /> 1 I Od, 112d(1, 2 or 3) S 1006 ❑ <br /> CV-DRMS-TR-RequestForm-M2018 <br />