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~ ~~~/ <br />III IIIIIIIIIIIIIIII <br />999 <br />~; _ !pi DEPARTMENT OF NATURAL RESOURCES <br />_~ <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 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: 04 / 07/87 <br />Perini ttee: W E S T E L K_ C O A L <br />C O M P A N Y _ ____ ~G/ <br />Street: P _ 0 _ _ B O X _ 5 9 1 _ _ _ to . \`~ <br />.City: S O M E R S E T <br />- - - - - - -- - - - - - - - - - - - - - <br />State: C o Zip Code: 8 1 4 3 4-_ _ <br />Penni t No.: C- 8 0- 0 0 7 <br />This box to be filled in by the Division: <br />Type of Revision: 1 ~ (PR, TR, or MR) <br />Revision Number ~ I{ (Sequential by Revision Type) <br />Revision Submittal Date ~/~/$"](Date Received by Division) <br />Pevision Completeness Date y /~3/~ Revision Incompleteness Date _/ / <br />Revision Adequacy Due Date 5 /23/~~j Revision Adequacy Date _/ / <br />Revision Decision Due Date /,2~/$') Fee E0.00 <br />,~~,., o '~ ~ • DiY10 H. Getches Eaecuhve Director <br />':;e 6 '~ MINED LAND RECLAMATION DIVISION <br />DAVID C. SHELTON, Olrsctor <br />Ricnara D. Lamm <br />Governor APPLICATION FORM FOR A REYISION <br />TO A COAL MINING AND RECLAMATION PERMIT <br />Brief Description of Revision: R e d u c t i o n= H~ d r o <br />t o g~_ M o n i t o r i nS__ <br />Public Notice Attached - Yes XXX No (Required for PR's and TR's) <br />Bond Increase: Yes _ No XXX <br />Proposed Change in: No change in acreages. <br />Disturbed Area (+/-) _ r*/A ._ Acres Affected Area (+/-) _ N/A ._ Acres <br />.Permit Area (+/_) _~/~,_Acres Federal Land (+/-) _ N/A Acres <br />State Land (+/-) _ N/A Acres Private Land (+/-) _ N/A Acres <br />Lead Reclamation Specialist ~ i m 6185E <br />423 Centennial Building, 1373 Sherman Street Denver, Colorado 80203 Tel. (303) 866-3567 <br />