REV100337

• Permit No: C1980006
• IBM Index Class Name: Revision
• Doc Date: 9/7/1993
• Doc Name: APPLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMATION PERMIT
• Type & Sequence: TR11
• Media Type: D
• Archive: No

iii-iiiiiiiiiiiii iii
999 f.
STATE OF COLORADO
Roy Romer, Gove
DEPARTMENT OF NATURAL RESOURCES
MINED LAND RECLAMATION DIVISION
FRED R. BANTA, Dlnctor
APPLICATION FORM FOR A REYISION
TO A COAL MINING AND RECLAMATION PERMIT
This form must be completed and submitted with all requests for minor revisions, as defined
in Rule 1.04(73), technical revisions as defined in Rule 1.04(36) and permit revisions, as
defined in Rule 1.04(90). A71 revisions are to address the requirements of Rule 2.08.4.
Three copies of your revision including maps must be submitted in order for it to be complete
All revisions are to be formatted so they can be inserted into *he permit to replace the
revised sections, maps, tables and/or figures. ~xpiain in the revision what section is being
revised, fie revision date should be printed in the lower right corner of the revision
pages. If necessary, the Table of Contents should at so be revised. When the final version
of the revision is approved, 7 copies must be sent to OSM in Denver for Federal mines and for
non-Federal mines 1 copy must be sent to OSM at 625 Silver Avenue, SW, Suite 310,
Albuquerque, New Mexico 87102. fie revision may not proceed until OSM has been provided
copies. Copies should be sent certified mail.
Date: 112/ .43 / ~~
Permittee: %RRR~4~coMp_/y~Y -- - - - - -
--------- RECEIVFp
Street: ~~o~Box 4R'7 `--------
-------------- SEP 71993
Ci1;y: walde~r.... _ _
State: Zi Code: - ~m'sb~ of ";;in~,~~s a uecwy/
~Q, P R(148Q_-- ----
Permit No.: C - ~~ - nns - '
s ox e r e ~n y e 1v sr on;
Type of Revision: TR (PR, TR, or MR)
Revision Number 1~ (Sequential by Revision Type)
Revision Submittal Date 9/3/x3 (Date Received by Division)
Revision Completeness Date -/ / Revision Incompleteness Date -/ /
Revision Adequacy Due Date -/ /- Revision Adequacy Date -/-/-
Revision Decision Due Date / / Fee 50,00
Brief Description of Revision: Permit revision to reflect_pit_water
~sc7iarge mom 7$0 Pit
Pubi is Notice Attached -Yes x -)10 -(Aequi re~ 1'or~R s and~R s )- - -
Bond Increase: Yes No x' Federal Non-Federal Mine
Proposed Change in:
Disturbed Area (+/-) o. ooAcres Affected Area (+/-) o .ooAcres
Permit Area (+/-) - - o. ooAcres Federal Land (+/_) - 'r o 0o Acres
State Land (+/-) - - o ooAcres Private Lane (+/_) - -p pp Acres
Lead Reclamation Spec~al~t RPp - 6185E (Rev-288)
423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203.2273 Tel. [phone]