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<br /> <br />., <br />Of COC <br />~~ O,P <br />~e ,~Tl~.:rr-L 90 <br />o <br />,~,:~n~ <br />• `~ t <br />a X876 ; <br />Ritnar0 D. Lamm <br />Governor <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This form must be completed and submitted with all requests for minor revisions, as <br />defined in Rule 1,04(73), technical revisions as defined in Pule 1,04(35) and permit <br />revisions, as defined in Rule 1.04(90). All revisions are to address the requirements <br />of Rule 2.08.4. <br />All revisions are to be formatted so they can be inserted into the permit to replace the <br />revised sections, maps, tables and/or figures. Explain in the revision what section is <br />being revised. The revision date should be printed in the lower right corner of the <br />revision pages. If necessary, the Table of Contents should also be revised. <br />Date: 0 9! 0 61 8 9 <br />Permittee: C O L O R A D 0 Y A M P A <br />C <br />St <br />t 0 A L_ C O M P A N Y ___ <br />~~~~~~~® <br />ree <br />: 2 9 5 8 7_ R 0 U T T ____ <br />C O U N T Y _R O A D_2 ~_ SFP1~1969 <br />City: O A K C R E E K <br /> <br />State: ~ ~ <br />Zip ____,_ <br />Code: 8 0 4 6 7 = _ _ _ ___ <br />~iPED LANu <br />RECLAMATION DIVISION <br />Permit No.: C - 8 4- 0 6 2 <br />This box to be filled in by the Division: <br />Type of Revision: _ _ (PR, TR, or F1R) <br />Revision Number _ _ (Sequential by Revision Type) <br />Revision Submittal Date _/_/ (Date Received by Division) <br />P,evision Completeness Date _/ / Revision Incompleteness Date _/ / <br />Revision Adequacy Due Date _/ / Revision Adequacy Date _/ / <br />Revision Decision Due Date <br />50.00 <br />BriefDescriptionofRevision: HYDROLOGI C MON I TOR I NG <br />- - - - - - - - - - - - - - - <br />P A R A M E T E R _L I S_T_______ <br />Public Notice Attached - Yes No X (P.equired for PR's and TR's) <br />Bond Increase: Yes IJo X <br />Proposed Change in: <br />Disturbed Area (+/-) _ 1q-, _ Acres Affected Area (+/-) _NL _. _ Acres <br />Permit Area (+/_) - lA-~ _ Acres Federal Land (+/-) _NL _ Acres <br />State Land (+/_) _ 1A- Acres Private Land (+/-) NL - Acres <br />Lead Reclamation Specialist 6185E <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (3031 866-3567 <br /> <br />DEPARTMENT OF NATURAL RESOURCES <br />Oav~tl H. Getcnes. Executive Director <br /> <br />MINED LAND RECLAMATION DI\ <br />DAVID C. SHELTO N, Director <br />