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<br />of ~~~ <br />~~" 0~9 <br />~~ o DEPARTMENT OF NATURAL RESOURCES <br />y :7 „{o - * DaviO H. Getches, Executive Director <br />MINED LAND RECLAMATION DI\ <br />~ X876 x DAVID C. SHELTON, Director <br />Richartl D. Lamm <br />Governor APPLICATION FORM FORA 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 P.u1e 1.04(36) and permit <br />revisions, as defined in Rule 1.04(90). All revisions are to address the requirements <br />of Rul a 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: / _ / ~f_' P...,. - Wr,;~ <br />Permittee: Wyoming Feel Company <br />- - - - - - - - - - - - - - - <br />--------------- SEP 19 1986 <br />Street : - 12055 west second Place- - - - - - flnis'~~~1 ~.a;~~ B~~LejflfiA a (Orj <br />_ P.O. Box 15596 _ _ _ _ _ _ _ _ _ tat1D. Je,I. Of !~2tutal :[['{{o~/p1 r. ,. <br />~t v~ yt.. ~y J <br />City Lakewood <br />- - - - - - - - - - - - - - - - - - - - <br />State: ~ p Zip Code: ~ 4.~ 1 ~ - .3 ~ 1 1 <br />Permit No.: C - drL - ©L ~ <br />This box to be filled in by the Division: <br />Type of Revision: =,Q (PR, TR, or MR) <br />Revision Number O ~ (Sequential by Revision Type) <br />Revision Submittal Date ~/~/~ (Date Received by Division) <br />Pevision Completeness Date 9 /ate/~ Revision Incompleteness Date -/ / <br />Revision Adequacy Due Date -/-/- Revision Adequacy Date -/ / <br />Revision Decision Due Date <br />bo.oo <br />Brief Description of Revision: Update and modification of drainage plan - <br />- - - - - - - - - - - - - - - - - <br />Public Notice Attached - Yes _ No x (P,equired for PR's and TR's) <br />Bond Increase: Yes No x <br />Proposed Change in: No change in land status <br />Disturbed Area (+/-) - - - - Acres Affected Area (+/_) - - _ _ Acres <br />Permit Area (+/-) - - - - Acres Federal Land (+/-) _ _ _ Acres <br />State Land (+/-) - - - Acres Private Land (+/_) - - - Acres <br />Lead Reclamation Specialist - - - <br />6185E <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (303) 866-3567 <br />