Laserfiche WebLink
t1 <br />.~ <br />STATE OF <br />LORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Depanment of Natural Resources <br />1313 Sherman 51., Room 215 <br />Denver, Colorado 60203 <br />Phnne: (303) 866-3567 <br />nrnrlf rGf~ <br />~ I) ~~~~ <br />FAX: 13071832-8106 APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMIPIYI©N4-ERNII~+~~pplRe% <br />~~~~ <br />DEPART'ME1VT OF <br />NATURAL <br />RESOURCES <br />This form must be completed and submitted with all requests for minor revisions, as defined in Roy Romer <br />Rule 1.04173), technical revisions, as defined in Rule 1.041136), and permit revisions, as defined Governor <br />in Rule 1.041901. All revisions are to address the requirements of Rule 2.08.4. Three (31 copies Execuirve Diheno8i <br />of the revision, including maps, must be submitted in order for it to be complete. <br />Michael6 Long <br />Drvisron Directur <br />All revisions are to be formatted so they can be inserted into the permit to replace the revised <br />sections, maps, tables and/or figures, with a revised table of contents, if necessary. The revision submittal <br />date should be printed in the lower right corner of each revision page. A cover letter to the revision should <br />explain the nature of the revision and reference the specific permit sections being revised. <br />For federal mines, a copy of the revision application must be submitted to ell agencies on the federal mailing <br />list at the same time the application is submitted to the Division, and proof of distribution must be submitted <br />to the Division along with the application. Copies of revision pages modified during the review process must <br />be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted <br />prior to implementation of the revision. For non-federal mines, a copy of the application for which the <br />Division has issued a proposed approval decision must be submitted to the OSM Western Regional <br />Coordinating Center (1999 Broadway Blvd., Suite 3320, Denver, CO 80202-57331, and proof of submittal <br />• to OSM must be submitted to the Division prior to implementation of the revision. <br />Permit No.: C- 8 0. 0 0 S Date: 0 3/ 0 8/ 9 6 <br />Permittee: S E <br />- - N E <br />- - C <br />- A C <br />- - - 0 A L <br />- - - - - - - <br />C 0 <br />- - M P <br />- - A <br />- N Y <br />- - - <br />- - - - - - - <br />Street: 1 3 <br />- - 0 0 <br />- - <br />- S 0 U <br />- - - T H Y A L E <br />- - - - - - - <br />- - <br />City: F L - - <br />A G - <br />S - - - <br />T A F - - - - - - - <br />F ______ <br />State: A z Zip Code: 8 6 0 0 1 __- <br />Brief Description of Revision: S P I L L _ CONTROL - PO ND 11 2 = <br /> A S - B U <br />- - - I L T S T O R A G E <br />- - - - C A P A C I T Y <br />- <br />- - <br /> C E R T I F <br />- - - - - - <br />I CAT I O N <br />- - - - - - - - <br />- - - - <br />Public Notice Attached: Yes _ No x (Required for PRs and TRsJ <br />Bond Increase: Yes No R Federal x Non-Federal Mine <br />Proposed Change in: <br />.Disturbed Area (+/-) _ _ 0 0 Acres Affected Area (+/-) _ _ 0 , 0 Acres <br />Permit Area (+/-) _ _ ~ ~ Acres federal Land (+/-) _ _ a ~ Acres <br />State Land (+/-) _ _ ~ ~ Acres Private Land (+/-) _ _ ~ ~ Acres <br />m:\ c o a l\ s h a r e 1 f o rm 518 8 6 5 <br />