Laserfiche WebLink
'~~ • • IIIIIIIIIIIIIIIIIII <br />999 <br />_ STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION oF.~o~ <br />Department of Natural Resources <br />~~%8 ~a <br />1373 Sherman SI.. Room 215 ~ ~ ,~ + <br />Denver. CO 80203 <br />303 866-3567 ~ •'.r <br />Fa x: 303 832-6106 <br />Roy Romer. <br />Governor <br />Free R. Banta. <br />APPLICATION FORM FOR A REVISION oivision 0ireclor <br />TO A COAL MINING AND RECLAMATION PERMIT <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 for <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 - ~ / - O <br />Date: 1 ~/ L Q./ ~. ~ <br />Permittee: S p ~--t ~ L ~ ~ ~ - ~~ ~ 1 Q <br />Street: ~ p, - ,(~ Q g - S ,~, ,S - - - - ,- <br />c; ty ~ ~, o ~ e r s, e ~- <br />State: G O Zip Code: $ 1 4 3 `( - - - - <br />MineName: ~o r~ eLSg~ -L11 n ~-_,----- <br />Brief Description of Revision: ~ o ~ - ~ L i L - - - - - - - - <br /> <br /> <br />Public Notice <br />Attached - - - <br />Yes ~( No - - - - - - - - - - <br />J (Required for PR's and - - - - <br />TR's) <br />Bond Increase: Yes No Federal Non-Federal Mine <br />Proposed Change in: <br />Disturbed Area (+/-) <br />- _ _ _ Acres Affected Area (+/_) _ _ _ _ Acres <br />Permit Area (+/-) <br />_ _ _ Acres Federal Land (+/_) _ _ _ Acres <br />State Land (+/-) - - - ~ Acres Private Land (+/-) - - - Acres <br />6185E (10/90) <br />