REV100627

• Permit No: C1984063
• IBM Index Class Name: Revision
• Doc Date: 2/6/1989
• Doc Name: APPLICATION FORM FOR A REVISION TO A COAL MINING & RECLAMATION PERMIT
• Type & Sequence: TR5
• Media Type: D
• Archive: No

e~ OF C0~~9
~- (~,~.~) $ DEPARTMENT OF NATURAL RESOURCES
~ /l 1~1 f Devia N. Getchea, E.ecutive Director
~1.~S// MINED LAND RECLAMATION DI\
s X876 4 DAVID C. SHELTON, Director
Hieher0 D. Lemm
Governor APPLICATION FORM FOR A REVISION
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 Pule 1.04(36) and permit
revisions, as defined in Rule 1.04(90). All revisions are to address the requirements
of Rule 2.08.4.
All revisions are to be formatted so they can be inserted into the permit to replace the
revised sections, maps, tables and/or figures. Explain in the revision what section is
being revised. The revision date should be printed in the lower right corner of the
revision pages. If necessary, the Table of Contents should also be revised.
Date: O1 / 31 / 89
Permittee: Eastside Coal Com~any~ Inc- - - - - - TR 5
P.0_Box 161 r=_ F= ~~; ~ - ---:,~;.
Street: ---------- ~~^;~_'_?€~' ~~F ~^ `. J,.
324~LGo44~.1' Road ~-------- ..- _,
--------------- ~~3 ~~ i°89
City: Silo Colorado 81652 - - - - - - - - - - - __ _.. _
State: CO- Zip Code: - 81,52 -- 0161-_icGir..°r:i~i~.;r: ,i`l:':ic]N
Permit No.; C - ~g - - ~5~
This box to be filled in by the Division:
Type of Revision: _ ~ (PR, TR, or P1R1
Revision Number ~ ~ (Sequential by Revision Type)
Revision Submittal Date(jS2 /~~q(Date Received by Division)
Pevision Completeness Date~3/~/~ Revision Incompleteness Date-/ /
Revision Adequacy Due Dat 3 / 2/ Revision Adequacy Date _/ /_
Revision Decision Due to y / I / Fee 50.00
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Brief Description of Revision: Increase the design of the division ditches to
handl~a lOQyg;ir~v~t- -- --- ---
Public Notice Attached - Yes ~_ No -(Required for PR's and TR's)
Bond Increase: Yes _ No X
Proposed Change in:
Disturbed Area (+/-) - - ~,~ Acres Affected Area (+/-) _ - 0 .0 Acres
Permit Area (+/-) - - ~.~ Acres Federal Land (+/-) - - 0. 0 Acres
State Land (+/-) - - _.4.0 Acres Private Land (+/-) - - 0, 0 Acres
Lead Reclamation Spec ialist Li1T- _ 6185E
423 Centennial Building, 1313 Sherman Street .Denver, Colorado 80203 Tel. [phone]
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