Laserfiche WebLink
OLORpiDO ION OF AND GEOLOGY <br />1313 Sbermsa S ,Roots Z1S. Denver, Colotsdo ~. (303) 866.3367 <br />APPLICATION FOAM FOA A AEII,SION <br />TO A COAL. MINING AND RECLAMATIpN PERMIT <br />This form must I <br />technical revisit <br />revisions are to <br />must be submit) <br />completed and submitted with all requests for minor axons, ss defined in Rule 1.04{731. <br />s, as defined in Rule 1.04(136), and permit revisior~e, as defined (n Rula 1.04(90!. All <br />Idress the requirsmsrrts of Aule 2.08.4. Three (31 cdpies of the rnrision, including maps, <br />din order for it to bs complete. <br />Ail rovisions era ~ ba formatted ao they can be inserted Into the permit to replace the revised peadons, maps, <br />tables andlor figures, wkh a revised table cf contents, if necessary. 'i~he rovision submittal date should be <br />printed in the lower npht corner of each revision page. A cover letter to the revision should explain the nature <br />at the revision ar~d reference the specific pemfit sectlone being revise. <br />For tederel mines' a copy of the rovision application rtsut ba submitted o all agencies on the federal mailing <br />Ilst Isxcept 05M~et the same time the application is submitted to the D, 'lion, and proof of distribution must <br />be submitted to a Divleion elonp whh the application. tApies of revision pages modified during the review <br />process must be ~ stributed In the same manner, along with proof of diaribudon. Proof of distribution must <br />be submitted pri r to implementation of :he revieian. <br />Permlt No.: 8 i - o I ~ Date: ~ a Z / _ /_7 / ~ooo <br />Psrrnittes: t3 L UE A?oUnl . A 71J ENERGY I <br />Strset• "Go7 Gouty ~ Y ROAD ~ $ ~ ;•~-~. _ ,,.R-,._,,,.--,-,.~ <br />y FEB 2 2 7000 <br />City: ANGELY <br />is <br />State: Go Zip Code: 9/!o N8 - .,,..,...._m_.,...-.:...,,~,,. <br />Brief Deser;ptlon of Revision: /17 ~. //Fj - L inli f~~~c~.~ 7 ~vau..~c 2 . _ <br />_ ~ <br />Publie Notlca A~tached: Yes _ No ,~ /Required foi PRs and <br />Bond Increase: Yes No X Federal 31 <br />Proposed Chang e In:' <br />Disturbed Area ~ (+!•) _ _o . O Acres <br />` <br />Permit Area ~ i+l•) _ <br />_ Q . C~Aeres <br />State Land ~ (+/-) _ _ Q. d Acres <br />Non-Fadaral Mine <br />Affected Area ,1+1-f _ _ O . _©Acres <br />Federal Land ~(+/-) ! _ ~. v Acres <br />Private Land (+/-) _ _ ~ . C~ Acres <br />