Laserfiche WebLink
III IIIIIIIIIIIIIIII <br />STATE OF C ~ - +~IZADO <br />DIVISION Of MINERALS AND GEOLOGY 'II 1r~1 7 7 '~~ ~~ <br />f)ePanmrnl UI N.1l urdl Rr.nurc cs W+++ v 1 ~e81 ` - ,- <br />I l l l ShCrm•1n 51 . Rixxn ' l i ~_ <br />Dcn~rr. Gilorado aU!U 1 ~ ~ r • <br />1'hnnr i llU ~ H6b-) ih: AIVIp108 01 dull®lals ~ 13901 , E. . <br />rA.e. uDi~ s~!~alub APPLICATION FORM FOR A REVISION ~-~- <br />TO ACOAL MINING AND RECLAMATION PERMIT DEP,~'nnErrr o: <br />NATURAi <br />RESOURCF;`. . <br />This form must be completed and submitted with all requests for minor revisions, as defined in Roy ROmer <br />Rule 1.04(731, technical revisions, as defined in Rule 1.04(1361, and permit revisions, as defined eo~ernor <br />in Rule 1.041901. All revisions are to address the requirements of Rule 2.08.4. Three 131 copies E.ecurse o hector <br />of the revision, including maps, must be submitted in order for it to be complete. ~,,rh,el a. \onF <br />Dimon D~recror <br />All revisions are to be formatted so they can be inserted into the permit to replace the revised <br />sections, maps, tables andlor figures, with a revised table of contents, if necessary. The revision submittal <br />date should be printed in the lower right corner of each revision page. A cover letter to the revision should <br />explain the nature of the revision and reference the specific permit sections being revised. <br />For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing <br />list at the same time the application is submitted to the Division, and proof of distribution must be submitted <br />to the Division along with the application. Copies of revision pages modified during the review process must <br />be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted <br />prior to implementation of the revision. For non-federal mines, a copy of the application for which the <br />Division has issued a proposed approval decision must be submitted to the OSM Western Regional <br />Coordinating Center (1999 Broadway Blvd., Suite 3320, Denver, CO 80202-5733), and proof of submittal <br />to OSM must be submitted to the Division prior to implementation of the revision. <br />Permit No.: C- 8 I- 0 1 0 Date: 0 7/ 0 3/ 9 7 <br />Permittee: T Lj_A P P~ R M I N I N G_ I N C___ <br />- - - - - - - - - - - - - - - <br />Street: P O B O X 1 8 7 <br />- - - - - - - - - - - - - - - <br />City: C R A I G _ _ _ _ _ _ _ _ _ _ _ <br />State: C 0 Zip Code: 8 1 6 2 fi_ _ - _ _ _ _ <br />Brief Description of Revision: M Ri 1 S i3, _U P D A T E <br />C U L V E R T T A B L E <br />Public Notice Attached: Yes _ No R (Required for PRs and TRs) <br />Bond Increase: Yes _ No X Federal ~ Non-Federal _ Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ _ _ Acres <br />Permit Area (+/-) _ _ _ _ Acres <br />State Land (+/-1 _ _ _ _ Acres <br />m:lcoal\share\forms\8865 <br />Affected Area 1+/-) _ _ _ _ Acres <br />Federal Land 1+/-) _ _ _ ,Acres <br />Private Land (+/-1 _ _ _ `Acres <br />