PERMFILE42819 - Laserfiche WebLink

Home Browse Search

Q~\O~ ~o DEPARTMEt•1T OF NATURAL RESOURCES 1.~ J O f~ ~ David H Gelc he s. Esecullve Direc br •\'~efb~,' MINED LAND RECLAMATION DI1 DAVID C. SHEliO N, Director D~chard D Lamm c°"e'"°' APPLICATION FORt•1 FOR A REVISION TO A COAL M1NiNG AND RECLAMATION PERF117 This form must be completed and submitted with all requests for minor revisions, as defined in Rule 1.04(13), technical revisions as defined in Pule 1.04136) and permit revisions, as defined in Rule 1.04(901. All revisions are to address the requirements of Ruie 2.08.4, All revisions are to be formatted so they can be inserted Into the permit to replace the revised sections, maps, tables and/or figures. Explain in the revision what section is being revised. The revision date should be printed in the loner right corner of the revision pages. If necessary, the Table of Contents should also be revised. Date: 0 2/ 1 7/ 8 7 Permittee: P e a b o d~_ C o a 1_ C o --------------- Street: 1 3 0 0 S o u t h Y a l e --------------- City: F l a g s t a f f -------------- ~tate: A Z Zip Code: 8 6 0 0 1_ ermit No C- 8 0- 0 0 5 This box to be filled in by the Division: Type of Revision: _ (PR, TR, or FIR) Revision llumber _ ^_ (Sequential by P,evision Type) Revision Submittal Oate _/_/_ (Date Received by Division) Revision Completeness Date _/_/_ Revision Adequacy Due Date _/_/_ Revision Decision Due Date / / Revision Incompleteness Date _/_/ Revision Adequacy Date / / Fee E0,00 Brief Description of Revision: T e m p o r a r y M i n e --------------- S e g u e n c e _C h a n g e __ Rublic Notice Attached - Yes X llo (P,equired for PR's and TR's) Bond Increase: Yes t!o X Proposed Change in: Disturbed Area 1+/-) _ 0 . ~ 0 Acres Affected Area (+/-1 _ _ 0 .0 Acres ~mit Area (+/_) 0 . 0 Acres Federal Land (+/-) _ _ 0 Acres 7't'ate Land (+/_) 0 Acres Private Land (+/-) 0 Acres Lead Reclamation Specialist 6185E 423 Genlennial Building, 1313 Sherman Slreei Denver, Colorado 80208 Tel. (303) 866-3567