Laserfiche WebLink
<br />STATE OF COLORADO <br />•:- ../. Roy Romer, Governor <br />1 - wl <br />DEPARTMENT OF NATURAL RESOURCES <br />MINED LAYVD RECLAMATION DIVISION '~~~~~~~~ <br />,;, ~, ; f, <br />ieeo w. uM~ plreetor APPLICATION FOAM FOR A RE1-ISION :.N ~ • <br />TO A COAL MINING AND RECLAMATION PERMIT ~-~ <br />This form crust be caopleted and submitted WU all requests for minor recisions, as define: <br />in Rule 1,D4(73). technical revisions as defined in Rule 1.04(36) and penit revisions, as <br />defined in Rule 1.04(90). All revisions are Lo address the requirements of Rule ?.08,4, <br />Three copies of your recision including maps tusi be submitted in order for ii to De complete <br />All revisions are Lo be formatted sa they can be inserted into the permit to replace the <br />revised sec tians, maps, tables and/or figures. Explain in the revision rAat section is Dein; <br />revised, The revision date should be printed in the lower right corner of the revision <br />gages. If necessary, the Table of Contents should at so be revised. ;then the fi.^.al versfcn <br />of :he revision is approved, 7 copies must be sent to OSM in Denver for Federal mines am °~ <br />non-Federal mines 7 copy must be SerK to OSM at 625 Silver Avenue, SW, Suite 310, <br />~ibuquerque, Hew Rlexic0 87102. Th! revision nay not proceed until OSM has Deen provi;ed <br />:odes, Copies should be sent certified mail. <br />]ate: '7/ / 6 / S <br />Permiitee: _G' ~ S L ,U - i?~ S c? u2~ s <br />.:reef: / ~f s Vic? 1fr ~ff [; .•~ ~ -~Z ~cr.~... ,-` <br />~- - - - <br />---- ~~~ 22 1994 <br />yity. ~~~~ /U -.~.--_ ~, <br />TC~ - - qq / - -1~~r+c~-r.~~r - - <br />$ta te: ~ ~~ -Zip Code: ~1 ~1 L ~ - - - ..- `. ~ ~' <br />Permit Na.: C - !? 1 - _O I _z <br />;dine Hame: i"J~GC%-~1~ __________ <br />--- <br />,n;s box o e i e ~n y e insron: <br />Type of Revision: ~yl /Z(PR, TR. 4r MR) <br />Revision dumber; _ - (Sequenita) Dy Recision Type) <br />Rev, Submittal Date: - ,/ -/ - (Date Received Dy Division) <br />Rev, •Comp1 eteness Date: , _/ -/- - Rer, Irtcanpleteness Date: - / -/_ _ <br />Rev, Adequacy Due Date: _ -/- _/ - Rer, Adequacy Date: _ _/_ ~/ ` <br />Rev, 9ecision Due Date: _ _/ _/ _ lead Reclamation SDecialist: _ - _ <br />vie escnp con o evis~on: -r~tic e - _.~ ,.~~ t ~'_ ~Z <br />Public Flotice Attached -Yes -~i(o ~quire3 ~r~R s and'TR s! <br />Bond Increase: Yes !lo X• ~eral Hon-Federal !••±ine <br />vroposed Change in: -' <br />sturbed Area (+/-) Acres Affected Area (+/-) Acres <br />rermit Area (+/-) - - - "" Acres Federal Land (+/=) , ` - -Acres <br />State Land (+/-) -' - - -Acres Private land (+/•3. - - - Acres <br />6185E (Rev, 10/88) - -' - _ - <br />215 Genlenniel Building. 1313 Swennen Street Denver, Coioraoo-B020~~2277 Tei.1~OJ1 8663567 <br />