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<br />• <br />OF CO[ <br />,~~ 0 O? <br />e ~N~il'?:~ 90 <br />H ~ o DEPARTMENT OF NATURAL RESOURCES <br />• ~.~ ,, ~ ~ * Dantl H. Getcnes. Execuirve Director <br />'~=' ' MINED LAND RECLAMATION DID <br />} Jg 76 + DAVID C. SHELTO N, Director <br />gichartl 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 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 /> - - <br />CO - - - - <br />A L_ C - - <br />0 M - - - - - - - <br />P A N Y___ <br />Street: 2 9 <br />- - 5 7 9 <br />- - - - R O <br />- - U T T <br />- - - - - - - <br /> C 0 U N T Y _ R 0 A D_ 2 7_ <br />City: O A K_ C R E E K ___________ <br />State: C 0 Zip Code: 8 0 4 6 7- ____ <br />Permit No C- 8 4- 0 6 2 <br />Date: 0 2/ 2 4/ 8 9 <br />Permittee: C 0 L O R A D O Y A M P A <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 <br />Fee E0.00 <br />Brief Description of Revision: R I L L & G U L L Y <br />- - - - - - - - - - - - - - - <br />P L A N_ M 0 D I F I C A T I 0 N <br />Public Notice Attached - Yes X No (Required for PR's and TR's) <br />Bond Increase: Yes No X <br />Proposed Change in: <br />Disturbed Area (+/-) - NLq _,_ Acres <br />Permit Area (+/-) -NLA _,_ Acres <br />State Land (+/-) _NLA _ Acres <br />Lead Reclamation Specialist <br />Affected Area (+/-) _ ~A ._ Acres <br />Federal Land (+/-) _ ~A Acres <br />Private Land (+/-) _ ~~ Acres <br />6185E <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (303) 866-3567 <br /> <br />