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COLORADO DIVISION OF 1 "'T"'TO AND SAFET <br /> 13 13 Sherman Street. Room?t -356? <br /> JAN� <br /> REQUEST FOR TECHNICAL i t SHEET <br /> OrpS10N�(,`FXVD SPF E�mac <br /> MxNh't.� - _Iq o —01 3 Site Name:E r @j <br /> County _9mr-1\coo t Lk TR#_ WR.WS Use onht <br /> Pemlitlee. �rj r <br /> Operator(If Other than Permittee):_ _?_" <br /> Permittee Representative: 90a Avtri_ <br /> Please provide a brief description of the proposed re,ision:_ _ _0 o b <br /> 3 <br /> CD <br /> 0 <br /> 3a 0 <br /> Er <br /> As defined bN the Minerals Rules. a,technical Re\ision JR) is:-'a change in the permit or application a C+J <br /> which dues not nave more than a minor effect upon the approved or proposed Reclamation or N <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 bevond 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 1)cfalli. <br /> 0 <br /> The request for a TR is not considered--tiled for review" until the appropriate tee is received by the s <br /> Division (as listed below b\ permit type). Please submit the appropriate tee with}our request to ;U o h <br /> expedite rhe re%ie%� process. .-fitter the TR is submitted with the appropriate fee, the Division will O <br /> detern.lre if it is approyable within 30 days. If the Division requires additional information to approve a ni 0 IV <br /> TR. \ou will be notified of specific deficiencies that "ill need to be addressed. I fat the end of the 30 " - <br /> day rc\is,\ period there are still outstanuine deficiencies. the Division must deny the TR unless the <br /> pemliuee requests additional time, L, writing. to pro\iae the required information. <br /> There is pre-detined format for the submittal of a TR. however. it is up to the permittee to provide <br /> suf icie . ia onnation to the Division to approve the rR request, including updated mining and <br /> rec lair_. on ;elan maps that accura�ely depi.:t ine charges proposed in the requested TR. <br /> Requires: Fees for Technical Revision by Permit Type - Please mark the correct tee and submit it with <br /> your reques. :or a Technical Revision. <br /> Perinit i ync Required TR Fee Submitted(mark only one) <br /> l l 0c 1 ' 1. i ;2 construction <br /> mate_i,_ a.),: 112 quarries <br /> 112 hc_ (not DMO) SI ❑ <br /> 1;uu. -21 2 o� 3 j S l UU6 ❑ <br />