Laserfiche WebLink
• <br /> <br />• <br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources RE~EIVEp <br />7313 Sherman St., Room 215 <br />Denver, CO 80203 MAY p 3 lgg5 <br />303 866-3567 <br />FAX: 303 632-6106 Oi~ision or <br />ntinerais g Geolo9Y <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT <br />OF CO/-0 <br />rQ. 9> <br />%~i8 <br />.. <br />~ re96' <br />Roy Romer. <br />Govemar <br />Fred R. Banta, <br />Division Director <br />This form must be completed and submitted with all requests for minor <br />revisions, as defined in Rule 1.04(73), technical revisions as defined in <br />Rule 1.04(36) and permit revisions, as defined in Rule 1.04(90). All <br />revisions are to address the requirements of Rule 2.08.4. Three (3) copies of <br />your revision including maps must be submitted in order for it to be complete. <br />All revisions are to be formatted so they can be inserted into the permit to <br />replace the revised sections, maps, tables and/or figures. Explain in the <br />revision what section is being revised. The revision date should be printed <br />in the lower right corner of the revision pages. If necessary, the Table of <br />Contents should also be revised. When the final version of the revision is <br />approved, 7 copies must be sent to OSM in Denver for Federal mines and far . <br />non-Federal mines 1 copy must be sent to OSM at 625 Silver Avenue, SW, Suite <br />310, Albuquerque, New Mexico 87102. The revision may not proceed until OSM <br />has been provided copies. Copies should be sent certified mail. <br />Permit No.: C - & 4- - Q ~ 3 <br />Date: o ,g/ Z 8 / g S" <br />~,~h, ~1 <br />Permittee: err s~,~~~, ~ ~~,,~,,,~ 1-,r,~- - <br />Street: /~ ~. t~=x- /G 1 - - - - - _. - - <br />.-.-.-.------------ <br />City: ~r ~~----------------- <br />State: C'U Zip Code: 8 i G ~ ~ - - - - - <br />Mine Name: ~i?sj~i12~.~~~~.------------ <br />Bri of Descri pti on of Revision: ojv („~,,~ ,~,,.~- ~ ~~.,~ /Lix~. ~gQ: _. <br /> <br />Public Notice Attached -- <br />-Yes No -------------- <br />D( (Required for PR's and TR's) <br />Bond Increase: Yes i No ~ Federal Non-Federal ~ Mine <br />Proposed Change in: <br />Disturbed Area (+/_) - - U,Gj Acres Affected Area (+/=) - ~~j Acres <br />Permit Area (+/-) - - U • G Acres Federal Land (+/-) - - Q Acres <br />State Land (+/-) - - /~ Acres Private Land (+/-) - _ ~ Acres <br />Gtacc n niDnt <br />