1989-07-01_REVISION - C1981017 - Laserfiche WebLink

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N DEPARTMENT OF NATURAL RESOURCES David H.Getches,Executive Director v » MINED LAND RECLAMATION DIVISION 18 76 DAVID C.SHELTON, Director i Richard D Lamm Governor APPLICATION FORM FOR A REVISION _ TO A COAL MINING AND RECLAMATION PERMIT This form must be completed and submrevsions with asldefinedsin P,ule for m1n04(36)iandnpermit defined in Rule 1 .iO4(73), technics 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 beExplainein into the revision what sermit to ction .isce the revised sections, maps, tables and/or figures. p being revised. The revision date should be le of Contentsrinted in the shouldlalso be right revisedcorner of the revision pages. If necessary, the Tab Date: 8 9 Permittee: _U _I_ D . �Q_- �L-Z 1- T- --T — R-E S . Street: 2 0 1 C S U I T LA_ 4 Q-._ �- - - - - C,•ty: G L E 11 -P— B—z-- N_G— — — — — — State: C O 'Zip Code: 8 — Permit No. : C - 0 _]_.. 7-_�L 1— — This box to be filled in by the Division: Type of Revision: M— $ (PR, TR, or MR) Revision Number _ _ (Sequential by Revision Type) Revision Submittal Date _/ / (Date Received by Division) Revision Completeness Date / / Revision Incompleteness Date Revision Adequacy Due Date —/ / Revision Adequacy Date Revision Decision Due Date / / Fee $0.00 Brief Description of Revision: PLACEMENT_ OF POND R I N G S_ F O_ R T_U N_ N E_L PILE MAINT. REQUIREMENT Public Notice Attached - Yes No xx (Required for PR's and T W O Bond Increase: Yes No - x Proposed Change in: Acres Disturbed Area (+/-) Acres — _- ,_•_ Acres Affected Area (+/-) — — ._•— Acres Federal Land (+/-) _ — — Permit Area (+/-) — ._ —•— Acres State Land (+/-) — — — Acres Private Land (+/-) — — _ 6185E Lead Reclamation Specialist J C S 423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel.(303) 866-3567