2014-06-05_ENFORCEMENT - C1981014

• Permit No: C1981014
• IBM Index Class Name: Enforcement
• Doc Date: 6/5/2014
• Doc Name: Response to Modification Notice
• From: Energy Fuels Coal, Inc
• To: DRMS
• Violation No.: CV2013002
• Email Name: DAB
• Email Name: RDZ
• Email Name: DIH
• Media Type: D
• Archive: No

COLORADO DIVISION OF WATER RESOURCES
DEPARTMENT OF NATURAL RESOURCES
1313 SHERMAN ST., Ste 821, DENVER CO 80203
Phone: [phone] Fax: [phone] d ermi sonlin te.co.us
Office Use Only Form GWS-46 (1112011)
MONITORING /OBSERVATION
Water Well Permit Application
Review instructions on reverse side prior to completing form.
The form must be typed, completed online or in black or blue ink.
1. Well Owner Information
Now of well owner
Engergy Fuels Coal, Inc. Southfield Mine
6. Use Of Well
Use of this well is limited to monitoring water levels
and /or water quality sampling
Mailing address
P.O. Box 459
7. Well Data (proposed)
City
Florence
State
CO
Zip code
81226
Total depth
383 feet
Aquder
coal seams
Telephone
719- 784 -6395
E- Mail (11 filing online itisrequired)
8. Consultant Information (if applicable)
Name of corNact person
Tim Crawford
2. Type Of Application (check applicable boxes)
Use existing well ❑ Replacement for existing monitoring well:
❑ Construct new well Permit no.:
El Other:
Company name
Bishop - Brogden Associates, Inc.
Mailing address
333 W. Hampden Ave., Suite 1050
3. Refer To (if applicable)
Monitoring hole acknowledgment
MH-
Weil name or N
MW -NW
City
Englewood
State
CO 180110
Zip Code
4. Location Of Proposed Well Im ortantl See Instructions
Telephone#
303- 806 -8952
County
Fremont
NW 14 o1 the SW 114
9. Proposed Well Driller License #(o tional ):
Section
19
Township
20
I N or S
r
Range
69
E or W
( Ix
Pnnapal Mendian
6th
10. Name of Well Owner or Authorized Agent
The making of false statements herein constitutes perjury in the second
degree, which is punishable as a class 1 misdemeanor pursuant to C.R.S.
24A -104 (13)(a). I have read the statements herein, know the contents
thereof and state that they are true to my knowled ge.
D seance of well from section lines (section lines are typically not property lines)
1,450 Fl. from? N FX— S 100 Ft from i- E 5 W
Sign or enter full name here
Rich A. Munson, Executive Vice President
Date (mmrddlyyyy)
105/12/2014
ForraplacadwmWalladnly — distanceanddirectionfromoldwell tonowwell
feet direction
n>qmn2.p�nnl name PnJn /l nil r /� other than land owner
'Neil location address (indude Qty, State. Zip) ❑ Check if Weil address rs same as Item 1.
Office Use Only
Optional: GPS well location information in UTM format
You must check GPS unit for required settings as follows.
USGS map name
DWR map no
Surface etev
Format must be UTM
I— Zone a or F Zone 13
Units must be Maters
Datum must be NAD93
Unit must be set b true north
Was GPS unit checked for above? ❑YES
Eastin g
Northing
Remember to set Datum to NAD83
Receipt area only
5. Property Owner Information
Name of property owner
"see attached ownership information"
Mailing address
DIV _ WD_ BA _ MD _
Qty
State
Zip Code
Telephone N