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~~ OE CO~O~ <br />¢~ = it F'1~ 9p <br />o DEPARTMENT OF NATURAL RESOURCES <br />,i~~"; DM IN ED ELANDDtRECLAMATION DI\ <br />r876 DAVID C. SHELTON, Director <br />RAC nald D. Lamm <br />Governor APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMI7 <br /> <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 1/ 2 1/ 8 8 <br />Permittee: T R A P P E R M I N I N G <br />- - - - - - - - - - - - - - - <br />I N C _ _ _ _ _ _ _ _ _ _ _ <br />Street: - 'f"'n R <br />--------------- ~%I~ 518$ <br />City: C R A I G <br />- - - - - - - - - - - - - - - - - - - - <br />State: c o Zip Code: 8 1 6 2 6- k;1PJED <<'~~~ <br />Permit No.: C - g 1 - 0 I 0 - - - R~CL.AA4~L i ;01~! UIVISIO~ <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 / / Fee 50.00 <br />Brief Description of Revision: R E v I s E <br />• C_ 0 N T R 0 L_ M <br />Public Notice Attached - Yes _ No a (Required fo <br />Bond Increase: Yes _ No x <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ 0._ Acres Affected Area <br />Permit Area (+/-) _ _ 0,_ Acres Federal Land <br />State Land (+/-) Acres Private Land <br />s ~~~.8--~~.- <br />A P _ _ _ _ _ _ <br />r PR's and TR's) <br />(+/-) - - ~,- Acres <br />(+/-) _ _ _ Acres <br />(+/-) Acres <br />Lead Reclamation Specialist G R s 6185E <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (303) 866-3567 <br />-.... ~ ....-~. ~r.= <br />