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~: <br />~~~ OFD-CO<OP <br />Ricnara D. Lamm <br />Governor <br />• • iiiiiiiiiiiiiiiiiii <br />e9a <br />DEPARTMENT OF NATURAL RESOURCES <br />Davitl H. Getcnes. Eaecuuve Director <br />MINED LAND RECLAMATION Dl~ <br />DAVID C. SHELTO N, Director <br />APPLICATION FORM FOR A REVISION <br />70 A COAL MININO 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 Rut a 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: ~ ~/ 2 ~/ g 7 <br />'Permittee: ~~~~~~ D Q- Y A M P A- ~~~~~® <br />~.1L~~-.C_1L.NL3_.g N Y --- ~~ <br />street: ? 9 5 $ B - R o u T T - - - - t~AR ~ p 1981 <br />~~ ~J ~{ T Y- R p A ~- 2 7 MINED tANO <br />City: ~~~-S~.E_~ K ------~BtAMAT10-~DIVVSIQN <br />State: ~ ~ Zip Code: g p 4 6 7 - - - - - <br />Permi t No.: C - ~ ~ - 0 7 1 - - - <br />This box to be filled in by the Division: <br />Type of Revision: ~'I/~ (PR, TR, or MR) <br />Revision Number L~ (Sequential by Revision Type) <br />Revision Submittal Date ~/~0/~"XDate Received by Division) <br />P,evision Completeness Dated/~(/ ~7 Revision Incompleteness Oate _/ / <br />Revision Adequacy Due Date _/ /- Revision Adequacy Date 3 / 3~/~ 7 <br />Revision Decision Due Date ~ / 9 /f 7 Fee 50.00 <br />Brief Description of Revision: S ~ ~ ~ - A N D - A L T <br /> ~,~~~- S T O C K P I L E S -- <br />Public Notice A ttached - Yes _ No ~(P.equired for PR's and TR's) <br />Bond Increase: Yes _ No _~ <br />Proposed Change in: <br />Disturbed Area (+/-) - ~p-.- Acres Affected Area (+/-) - ~~.- Acres <br />Permit Area (+/_) - ~-,- Acres Federal Land (+/_) - ~~ Acres <br />State Land (+/_) - ~- Acres Private Land (+/_) - ~~ Acres <br />Lead Reclamatio n Specia list ~ L /V~ 6185E <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (303) 8663567 <br />