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ii~ <br />999 <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY r• ~ ^ r I V'- p <br />Depanment of Natural Rewurces <br />131 ]Sherman bl., Room ? 15 Irr! <br />Denier. Culoradu H0203 JAN 'L 71997 Illy <br />Phone: IlOli Hbfi~35fi7 <br />FAIT: IJ031 H3?~BIUb APPLICATION FORM FOR A REVISION <br />DEPARTMENT' OF <br />TO A COAL MINING AND RECLAMATION PERMIT, ~, veulogy NATURAL <br />RESOURCES <br />This form must be completed and submitted with all requests for minor revisions, as defined in Rov Romer <br />Rule 1.041731, technical revisions, as defined in Rule 1.04(136), and permit revisions, as defined eove,ror <br />in Rule 1.041901• All revisions are to address the requirements of Rule 2.08.4. Three 13) copies Ewecul ve Dihr<eo <br />of the revision, including maps, must be submitted in order for it to be complete. <br />Michael B. Long <br />Division Direclu, <br />All revisions are to be formatted so they can be inserted into the permit to replace the revised <br />sections, maps, tables and/or figures, with a revised table of contents, if necessary. The revision submittal <br />date should be printed in the lower right corner of each revision page. A cover letter to the revision should <br />explain the nature of the revision and reference the specific permit sections being revised. <br />For federal mines, a copy of the revision application must be submitted to ell agencies on the federal mailing <br />list at the same time the application is submitted to the Division, end proof of distribution must be submitted <br />to the Division along with the application. Copies of revision pages modified during the review process must <br />be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted <br />prior to implementation of the revision. For non-federal mines, a copy of the application for which the <br />Division has issued a proposed approval decision must be submitted to the OSM Western Regional <br />Coordinating Center 11999 Broadway Blvd., Suite 3320, Denver, CO 80202-5733), and proof of submittal <br />to OSM must be submitted to the Division prior to implementation of the revision. <br />Permit No.: C- _8 ~- 0 1 4_ Date: _ 0 1/ 2 0 / 9 7_ <br />Permittee: ENERGY FUELS COAL, INC. <br />- - - - - - - - - - - - - - - <br />SOUTHFlELD MINE_ <br />St-eet: P. O. BOX 459 <br />- - - - - - - - - - - - - - - <br />1190 COUNTY ROAD 92 <br />- - - - - - - - - - - - - - - <br />City: FLORENCE <br />- - - - - - - - - - - - - - - <br />State: CO_ Zip Code: 8 1 2 2 6 _ _ _ _ _ _ <br />Brief Description of Revision: Refuse Pile Stability Analysis; Technical Revision No. 27 <br />(TR-27) <br />- - - - - - - - - - - - - - <br />Public Notice Attached: Yes X No _ (Required for PRs and TRs1 <br />Bond Increase: Yes _ No X Federal _ Non-Federal X Mine <br />Proposed Change in: <br />Disturbed Area 1 + /-) _ _ 0. 0 Acres <br />Permit Area 1 + /-) _ _ 0. 0 Acres <br />State Land 1+/-1 _ _ 0. 0 Acres <br />Affected Area (+!-) _ _ 0 ~ Acres <br />Federal Land (+/-) _ _ 0 0 Acres <br />Private Lend (+/-) _ _ 0. 0 Acres <br />m:lcoal\share\f orms19865 <br />