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W <br />COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />REGE!a <br />APPLICATION FORM FOR A REVISION JAN 1 ' <br />TO A COAL MINING AND RECLAMATION PERMIT Division of Recta m,at1r) <br />Mining & saff <br />This form must be completed and submitted with all requests for minor revisions, as defined in Rule 1.04(7�3Y <br />technical revisions, as defined in Rule 1.04(136), and permit revisions, as defined in Rule 1.04(90). All revisions <br />are to address the requirements of Rule 2.08.4. Three (3) copies of the revision, including maps, must be <br />submitted in order for it to be complete. <br />All revisions are to be formatted so they can be inserted into the permit to replace the revised sections, maps, <br />tables and/or figures, with a revised table of contents, if necessary. The revision submittal date should be printed <br />in the lower right comer of each revision page. A cover letter to the revision should explain the nature of the <br />revision and reference the specific permit sections being revised. <br />For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing list <br />(except OSM) at the same time the application is submitted to the Division, and proof of distribution must be <br />submitted to the Division along with the application. Copies of revision pages modified during the review process <br />must be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted <br />prior to implementation of the revision. <br />Permit No.: C - 1981 _ 014 Date: 01 / 13 /2016 <br />Permittee: ENERGY FUELS COAL, INC. <br />SOUTHFIELD MINE <br />Street: 115 E. MAIN ST. <br />P.O. BOX 459 <br />City: FLORENCE <br />State: CO Zip Code: 81226 <br />Brief Description of Revision: MR No. 70: PERMANENT TOPSOIL PILES <br />Public Notice Attached: Yes❑ No ❑✓ (Required for PRs and TRs) <br />Bond Increase: Yes❑ No❑ Federal ❑ Non -Federal ❑✓ Mine <br />Proposed Change in: <br />Permit Area - Surface Ownership - <br />Disturbed (+/-) T _0.0 Acres Private Land (+/-) _ _ _ p.0 Acres <br />Permit (+/-) _ _ ^0.0 Acres <br />Affected (+/-) _ _ _0.0 Acres <br />Mineral Ownership - <br />Mineral Private (+/-) _ _ _ 0.0 Acres <br />Mineral Federal (+/-) _ _ _.0-0 Acres <br />Federal Land (+/-) _ ! _ 0.0 Acres <br />State Land (+/-) _ _ 0.0 Acres <br />Mineral State (+/-) _ _ 0.0 Acres <br />