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STATE OF COLD O DIVISION OF MINERALS AND GEOLOGY dy Depanment of Natural Resources ~ r (` C I\/ F D 1317 Shemun St., Room 215 Denver, Colorado 80]03 MAY 2L )~q5 Phone: (1031866-3567 FAX: (3031 83 2-81 06 APPLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMATION PERM DEPARIMFNTOF ~r:,,wu of tvt~erals ~ ~eolnyy NA~.~. RESOURCES This form must be completed and submitted with all requests for minor revisions, as defined in Ra flea. Rule 1.04173), technical revisions, as defined in Rule 1.0411361, and permit revisions, as defined coae,a in Rule 1.04190). All revisions are to address the requirements of Rule 2.08.4. Three 13) copies laera s. lachlrad of the revision, including maps, must be submitted in order for it to be complete. r1eN°Ye O1ipar Mirhad e. torr6 oivoioe olnrcmr All revisions are to be formatted so they can be inserted into the permit to replace the revised sections, maps, tables and/or figures, with a revised table of contents, if necessary. The revision submittal date should be printed in the lower right comer of each revision page. A cover letter to the revision should explain the nature of the revision and reference the specific permit sections being revised. For federal mines, a copy of the revision application must be submitted to all agencies on the federal mailing list at the same time the application is submitted to the Division, and proof of distribution must be submitted to the Division along with the application. Copies of revision pages modified during the review process must be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted prior to implementation of the revision. For non-federal mines, a copy of the application for which the Division has issued a proposed approval decision must be submitted to the OSM Albuquerque Field Office IAFOI, and proof of submittal to AFO must be submitted to the Division prior to implementation of the revision. Permit No.: C - _ 82 _055 _ _ Date: 0 5 ! 1 9 _ ! _9 51 Permittee: ENERGY FUELS MINING COMPANY - - - - - - - - - - - - - - - P.O. BOX 449 Street: City: FT.nRF.N~E State: CO Zip Code: _ 81226 _ _ _ _ Brief Description of Revision: Modification of the drainage and sediment control TnTor tTie East Loa~out - - - - - - - - - - - - - - Public Notice Attached: Yes ~ No _ (Required for PRs and TRs) Bond Increase: Yes No X Federal _ Non-Federal _ Mine Proposed Change in: 0 0 Disturbed Area (+!-) _ _ ~ ~ Acres Affected Area (+/-) _ _ _ _ Acres Permit Area (+/-) 0 . 0 Acres Federal Land (+/-) _ 0 0 Acres State Land 1+/-) _ _ 0 , 0 Acres Private Land (+/-) _ _ ~ ~ Acres m: \co el\s h erellorm s\8885