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r <br />i oF.~a~o <br />^~ 9 <br />~e~ ,i ;~~ <br />H ~, o DEPARTMENT OF NATURAL RESOURCES <br />y i1 ,;c,o ' `~ ~ Dantl H. Gelches. Executive Dveclor <br />"_, MINED LAND RECLAMATION DI\ <br />DAVID C. SHELTO N, Director <br />Richard D. Lamm <br />Governor 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(36) 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: 1 1/ 2 1/ 8 8 <br />Permittee: C O L O R A D O Y A M P A_ ~.~ <br />~ <br />~ <br /> C O A L _C O M P A N Y ___ ~~ ~~~ <br />~~ <br />~~ +1~ <br />Street: 2 9 5 8 7 <br />'R O ll T T <br /> C <br />- O <br />- U <br />- N <br />- _ <br />T Y <br />- - - R <br />- '0 A D 2 7 <br />- - - - - - - P1GV ~ ~ X988 <br />City: 0 A K _ C R E E _K ----- _--~ilhL~trlvv <br />y!~~ `'~)VtS10~ <br />State: C 0 Zip Code: 8 0 4 6 7 - _ _ _ _ ~E:CLFM!A <br />Permit No C - g l - 0 7 1 <br />This box to be filled in by the Division: <br />Type of Revision: _ _ (PR, TR, or MR) <br />Revision Number _ _ (Sequential by Revision Type) <br />Revision Submittal Date _/ / (Date Received by Division) <br />Pevision Completeness Date _/ / Revision Incompleteness Date _/_/ <br />Revision Adequacy Due Date _/_/ Revision Adequacy Date _/ / <br />Revision Decision Due Date / / Fee E0.00 <br />Brief Description of Revision: H Y D <br />- - R O L O G I C <br />- - - - - M O N I <br />- - - T O R <br />- - - I N G <br />- - <br />P A RAM E_T E R__L I S T__ ___ __ <br />Public Notice Attached - Yes _ No X (Required for PR's and TR's) <br />Bond Increase: Yes _ No X <br />Proposed Change in: <br />Disturbed Area (+/_) _ 1A ,_ Acres Affected Area (+/-) - N/A . _ Acres <br />Permit Area (+/-) _ N/A Acres Federal Land (+/-) _ N/A Acres <br />State Land (+/-) - N/A Acres Private land (+/-) - N/A Acres <br />Lead Reclamation Specialist 6185E <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (303) 866-3567 <br />