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oF'co~Rr <br />°o <br />~,~.• COLORADO DIVISION OF MINERALS AND GEOLOGY <br />''e"' 1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 R <br />~~ VED ~~ <br />~~~~ 209~~;~ <br />APPLICATION FORM FOR A REVISION Ulri~fdrSIBPAI{~t•pAtOOdGeNe <br />TO A COAL MINING AND RECLAMATION PERMIT 0~9Y <br />This form must be completed and submitted with all requests for minor revisions, as defined in Rule <br />1.04(73), technical revisions, as defined in Rule 1.04(136), and permit revisions, as defined in Rule <br />1.04(901. All revisions are to address the requirements of Rule 2.08.4. Three 131 copies of the revision, <br />including maps, must be 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, <br />maps, tables and/or figures, with a revised table of contents, if necessary. The revision submittal date <br />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 all agencies on the federal mailing <br />list (except OSM) at the same time the application is submitted to the Division, and proof of distribution <br />must be submitted to the Division along with the application. Copies of revision pages modified during the <br />review process must be distributed in the same manner, along with proof of distribution. Proof of <br />distribution must be submitted prior to implementation of the revision. <br />Permit No.: C - 81 - 014 <br />Permittee: <br />Street: <br />City: <br />Date: 05 / 23 / 02 <br />Energy Fuels Coal, Inc. <br />P.O. Box 459 <br />Florence <br />State: CO Zip Code: 81226 - <br />Brief Description of Revision: Incorporation of light-use road to Newlin Creek <br />topsoil stockpile in Southfield permit document <br />Public Notice Attached: Yes _ No X (Required for PRs and TRsI <br />Bond Increase: Yes X No Federal Non-Federal X Mine <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ 2 . 5 Acres Affected Area (+/-) _ _ <br />Permit Area (+/-) _ _ 0 . _ Acres Federal Land (+/-) _ _ <br />State Land (+/-) _ _ 0 . _ Acres Private Land (+/-) _ _ <br />2 5 Acres <br />0. Acres <br />2 5 Acres <br />m:\coal\share\forms\Revision App <br />