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<br />•• <br />OF ~p<p <br />~~ ^ /~ ? <br />rQ t~11 ~r`y. TQ <br />H O <br />. ~ r ~ ^ . <br />.`~~~. <br />` ~a~6' <br />Richard D. Lamm <br />Governor <br />DEPARTMENT OF NATURAL RESOURCES <br />Davao M. Getcnes. Execurrve Director <br />• • iii iiiiiiiiniii iii <br />MINED LAND RECLAMATION DI\ <br />DAVID C. SHELTON, Director <br />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: 0 6/ 1 3/ 8 9 <br />Permittee: C O L O R A D O_ Y A M P_A ~~~~~~~® <br />~ O A_L _ C O M_P A N Y_ <br />street: z 9 s a 7 R o u T T JUN 8 G 1989 <br />--------------- <br />C _O U_N_ T Y _ R _O _A_D_ _# 2 7 MINED LAND <br />City: O A K_ _C R_E_E_ K _ _ _ _ _ _ _ RECLAPAAT'ION DIVISION <br />State: C _O Zip Code: 8 0 4 6 7- <br />Permit No C- 8 1- 0 7 1--- ---- <br />This box to be filled in by the Division: <br />Type of Revision: (PR, TR, or F1R) <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 50.00 <br />Brief Description of Revision: B E <br />- - D R O <br />- - - C K <br />- - SJ E L L <br />- - - - - - <br />- - <br />T <br />- R A N <br />- - - S F E <br />- - - R S <br />- - <br />- - - - - <br />- <br /> <br />Public Notice Attached - Yes <br />_ No <br />X~C(P.equir <br />ed for - <br />PR's and TR's) - <br />Bond Increase: Yes _ No _~ <br />Proposed Change in: <br />Disturbed Area (+/_) N/A _ _ Acres Affected Area (+/-) ~A _ _ Acres <br />Permit Area (+/-) N/A _ _ Acres Federal Land (+/-) ~SfA _ Acres <br />State Land (+/_) N/A Acres Private Land (+/-) N/A Acres <br />Lead Reclamation Specialist 6185E <br />423 Centenn!al Buildin5, 1313 Sherman Street Denver, Colorado 80203 Tel. (3031 866-3567 <br />