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• • <br />Of ~~( <br />~~' [-: 07 <br />~` -~~"'~~ 9° DEPARTMENT OF NATURAL RESOURCES <br />o <br />y ~~ ~ ~ ?; y Dano H. Getcnes. Eaecm~re Duenor <br />"~~`"='/' MINED LAND RECLAMATION DI1 <br />~ r876 ~ DAV{D C. SHELTO N, Director <br />R~cnara D. Lamm <br />Governor APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATIOJJ 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 Rule 2.08.4. <br />All revisions are to be fo mtatted 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: 0 2/ I 3/ 8 7 <br />Permittee: T R .~ ? P ~~- M1~~~I_G- ~~~~~~~® <br />I N C <br />- - - - - - - - - - - - - - - <br />street: P o - B o ~-1~~----- FEB 271987 <br />MINED LAND <br />- - - - - - - - - - - - - - - <br />- CiECLAMATION DIVISION <br />City: C R ~.L~----------- <br />State: c ~ Zip Code: ~ 1 ~ ~ ~ - - - - - <br />Permit No.: C - ~ ~ - ~ ~ ~ <br />This box to be filled in by the Division: <br />Type of Revision: _ _ (PR, TR, or h1R) <br />Revision Number - - (Sequential by Revision Type) <br />Revision Submittal Date _/_/_ (Date Received by Division) <br />Pevision Completeness Date _/_/_ Revision Incompleteness Date -/ / <br />Revision Adequacy Due Date -/-/- Revision Adequacy Date -/ / <br />Revision Decision Due Date / / Fee 50.00 <br />Brief Description of Revision: p ~ g ~ ~ ~ - g Q ~ ~ ~ ~ ~ y_ <br />A N D- M I \' E - ~~~~- ~ ~i~ N G E <br />Public Notice Attached - Yes \Y No _(P.equired for PR's and TR's) <br />Bond Increase: Yes Xx JJo _ <br />Proposed Change in: <br />Disturbed Area (+/_) _ 9 6._ Acres Affected Area (+/-) _ _ _ _ Acres <br />Permit Area (+/-) _ 9 6• Acres Federal Land (+/-) _ _ _ Acres <br />State Land (+/-) - 6 5 Acres Private Land (+/-) - ~ L. Acres <br />Lead Reclamation Specialist G R S 6185E <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (303) 866-3567 <br />