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<br />OF ~~C <br />,~4. ~ OA <br />c ^~,I~~14'0 <br />,~ ~ p DEPARTMENT OF NATURAL RESOURCES <br />y ~7'~ „f o ~ * DeviA H. Gelchea. Enecutive Director <br />#~~'~" MINED LAND RECLAMATION DI\ <br />{ ~g 76 + DAVID C. SHELTON, Director <br />Richar0 D. Lamm <br />Governor APPLICATION FORM FOR A 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 />Date: o s/ 0 9/ 8 9 <br />Permittee: T P. A P P E R_ Pt I N I N G_ ~I~'f~++Cl~~~ <br />I N C n ~~// <br />- - - - - - - - - - - - - - - <br />Street: P o s o x i s~ AU® lh 1989 <br />--------------- <br />___ ___________ MINED LANG <br />City: c R A z c RECLAMATION DIVISIOW \$~ <br />State: c o Zip Code: 8 1 6 2 6 = _ _ _ ~` ~1 • ,~ij <br />Permit No C- 8 1- 0 1 0 `GJL <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 g /~/~`~(Date Received by Division) <br />Pevision Completeness Date ;;/]~/~1 Revision Incompleteness Date _/ / <br />Revision Adequacy Due Date ~/\~/Kr1 Revision Adequacy Date _/ / <br />Revision Decision Due Date 0 /1b /K Fee E0, 00 <br />~1~~~ <br />Brief Description of Revision: T o <br />- - P s o <br />- - - I L <br />- - s E E D I <br />- - - - - - N c <br />- - <br />E X C L U S I 0 N I N D P <br />- ' - I T <br />Public Notice Attached - Yes x No (Requir ed for PR's and TR's) <br />Bond Increase: Yes _ No x <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ o ,o Acres Affected Area (+/-) _ _ _ _ Acres <br />Permit Area (+/-) _ _ o .o Acres Federal Land (+/-) _ _ _ Acres <br />State Land (+/-) Acres Private Land (+/-) Acres <br />Lead Reclamation Specialist A •T w 6185E <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (303) 866.3567 <br />