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STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Depanmeot of Nawral Resources <br />1313 Sherman SL, Rnom ? I S I`~ <br />Denver, ColoraAo AD?l13 I <br />Phnne: 0031 8hG~35G7 <br />fA%:1103183?-alUt, APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT DEPARTME[JTOF <br />NATURAL <br />RESOURCES <br />This form must be completed and submitted with all requests for minor revisions, as defined in a°r Rome, <br />Rule 1.04(731, technical revisions, as defined in Rule 1.041136), and permit revisions, as defined cOVe'"°` <br />in Rule 1.04(901. All revisions are to address the requirements of Rule 2.08.4. Three (31 copies Esecuu.e Dheuor <br />of the revision, including maps, must be submitted in order for it to be complete. <br />Michael B. long <br />Divi.ian Uireaur <br />All revisions are to be forrnat[ed 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 all agencies on the federal mailing <br />list at the same time the application is submitted to the Division, and 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 (1999 Broadway Blvd., Suite 3320, Denver, CO 80202-57331, and proof of submittal <br />to OSM must be submitted to the Division prior to implementation of the revision. <br />Permit No.: <br />Permittee: C - 8 1 - 0 1 4 Date: <br />1. ENERGY FUELS COAL, INC _ <br />SOUTHFIELD D1INE -- Q ~ ! ~ ~ / 3 ~ RFrF('/FD ~ <br />- - - - - - + <br />------- FEe2~ ~9y6 <br />Street: 1190 COUNTY ROAD 9 2 - - <br />P _O. BOX 459 - - - - - - - - - - Division of Minerals & <br />- - - - - - Geology <br />City: FI~Q.REZLC>~----- ------ <br />State: CO Zip Code: 81226- - --- - - - <br />Brief Description of Revision: REDUCTION IN SUBSIDENCE MONITORING - - <br /> TECHNICAL REVISION # 24 - - - - - - <br />Public Notice Attached: Yes g No - (Required for PRs and TRsI <br />Bond Increase: Yes - No .~ Federal - Non-Federal ~ Mine <br />Proposed Change in: <br />Disturbed Area (+/-) - - 0 . 0 Acres <br />Permit Area 1+/-) 0 . 0 Acres <br />State Land 1+/-) - - ,~ . ~ Acres <br />Affected Area (+/-) - - 0 0 Acres <br />Federal Land (+/-) - - 0 0 Acres <br />Private Land (+/-) - - ~ . ~, Acres <br />m:lcoal\share\f orms\8865 <br />