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Permittee: City of Las Animas <br />Permittee Representative: <br />COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203 ph(303) 866 -3567 <br />REQUEST FOR TECHNICAL REVISION (TR) COVER SHEET <br />File No.: M- 2012008 Site Name: City of Las Animas Sand Excavation Area <br />County Bent '1 (DRYS Use only) <br />Operator (If Other than Permittee): <br />Ken Wagner, Director of Public Works <br />Please provide a brief description of the proposed revision: Site will be used as needed and <br />used less then 180 days per year. - <br />As defined by the Minerals Rules, a Technical Revision (TR) is; "a change in the permit or application <br />which does not have more than a minor effect upon the approved or proposed Reclamation or <br />Environmental Protection Plan." The Division is charged with determining if the revision as submitted <br />meets this definition. If the Division determines that the proposed revision is beyond the scope of a TR, <br />the Division may require the submittal of a permit amendment to make the required or desired changes <br />to the permit. <br />The request for a TR is not considered "filed for review" until the appropriate fee is received by the <br />Division (as listed below by permit type). Please submit the appropriate fee with your request to <br />expedite the review process. After the TR is submitted with the appropriate fee, the Division will <br />determine if it is approvable within 30 days. If the Division requires additional information to approve a <br />TR, you will be notified of specific deficiencies that will need to be addressed. If at the end of the 30 <br />day review period there are still outstanding deficiencies, the Division must deny the TR unless the <br />permittee requests additional time, in writing, to provide the required information. <br />There is no pre - defined format for the submittal of a TR; however, it is up to the permittee to provide <br />sufficient information to the Division to approve the TR request, including updated mining and <br />reclamation plan maps that accurately depict the changes proposed in the requested TR. <br />Required Fees for Technical Revision by Permit Type - Please mark the correct fee and submit it with <br />your request for a Technical Revision. <br />Permit Type Required TR Fee <br />110e, 111, 112 construction <br />materials, and 112 quarries $216 <br />112 hard rock (not DMO) $175 <br />110d, 112d(1, 2 or 3) $1006 <br />Submitted (mark only one) <br />r r / <br />E <br />© RECEIVED <br />MAR 1 71113 <br />DIVISION OF IEPkAMATIN <br />MINING AM) S4f tfiY <br />