REV92344

• Permit No: C1981012
• IBM Index Class Name: Revision
• Doc Date: 7/16/1990
• Doc Name: APPLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMATION PERMIT
• Type & Sequence: TR20
• Media Type: D
• Archive: No

iii iiiiiiiiiiiuiii .
l~l ~ ~_~~ ~~- ~_ 999
- -- --
~1• ^ ~~~~~ Roy Romer Guvornor ~'•~
\~ I ~.
DEPARTMENT Or NATURAL FcSOURCES ~~ ~'"
ti111VED l.Ai~tID RECLAMA'~ION DIVI~IaM .';~~ •:~
,,
FAtD R. BANTA. D,ncta AppLICATTCN FORM FOR A REVISION ~~;
7G A LOAL MIyING AND RELLAPATION PERMiT "~~ ~~•--~''
This form must be completed and submitted Math ail requests for minor revis'ens, as d:fine~'
in Rule 1.04(13), technical revisions as defined in Rule 1,04(36) end permit revisions, as
defined in Rule 1,04(90). All revisions are to address the requirements cf ?ule 2.09.5.
Thraa copies of your recision ineludioo maps must be submitted in or~er fcr iL to be co.aCie.~:
All revisions are to b2 formatted so they con be inserted into the pe,^nit to rep'. ace the
-evised sections, maps, tables and/or figures. Explain in the revision what se:tlon is Deir~
revised. The revision Cate should be prln-e: in the lcwer rirt~L corner of the revision
Cayes. .~ n?~eSSary, Lne 'aCle Of Contents Should 315J be revise. ~'he^. :he ^'1 v2ri'Gn
7f the re V'S10^ i$ appr~Yed, ~ CopleS t^lSt h°_ sent L9 J:ri In ~$nV°• :~" ^eC^~-ci 'i"ii•> ~,'~ '_
non-Federal sires 1 copy must be sent to CS?4 at 5?5 Silver venue, ~.:, ~•nte 31~i,
nlDuquerque, hew Mexico 61102. The revision m_y not ;,roceed un.:ti ~•;'i has Coen pr~~,id_r,
cc;,ies. Ccpies should be sent certifie^.: mail,
mate: O ~ / ~ ~ / i Y_
azrmi:.ee: 1~.~.! Q ~~rt
._F.r~Q.L -.~ o
creel: ~
S
a~
-_ ~
~~;~~~~~.
.,
.1~ z
o-X~~11~ G ~
-- -
----------
----
~u(-1r(sso
0 i ty: NiIIV~p U'+r,u
State: ~ U ?ip ,:ode: 8 L 1~ ~ L - o D ,~ L oNUrw,.S~
Permit 110.:_-B / - OL L
~~ina flame: L(/ e w-~L K ----- -------~ -
TFi sox ~.o oe :: ,el ,n oy ,.ne nv~s•~cn: n
~ --
?vpe of Revis,o^: _ ~ (PR, TR, or "iP) /
, -
,~/~

'EVis. I:~r.- r:
~Q ;;e;uen .d ~; •r'sion .~,_, ~)
rev. iuCrii--~1 ;raL e: 12L/L (z/2a (i)atE Rec eived oy :i~isi~. ~/ ~~
Rev. Completeness Date: ~Z/~3/~ Q P.ev. Incompleteness ~a:e: - -i- -i- -
Rev. Adequacy ^ce Date: p $.i$ 1~/s a Pev. Adeauaty Date: - - - - /- -
Rev, Decision Due ?ate: ~ ~/~ L !c1 ~ Lead Peclar..aLicn ;ceciali,~ : ~ K _ /
_ri2r ~escrt;,t~on or ~e~::s.cn: ~ - .5.. ~ o „ ~ L „ v g L i ~ n -

Public Notice :,tLa ched - t'es / i!o (F:equ~ ree roc :~ s a.~e .r. >~
~.nnd 'ncrease: `"es ''~ i/ reeeral '::~n-'e•__ra' "'m'
%rope;ed ~ham:e in:
sturoed Area !+/-) ~, p Acres af~ectea area ~-/-) p . p r,:r~,
vermit Area (+!_) - - - _- Acres Federal Land (+;-1 - -_ -~ - 1.'~^5
State Land (*/-) _ _ _ Acres Private Lard '.i-; _ __ _ "ores
6185E (Rev. IJ/99)
2t5 Centennial DuJC nq. t3~3 S~~rmar Stree: Donver Co~oracroBC,G'i 7;:1.; Lei (3~:'.~ dEE .- .~