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• STATE OF COt~ORADO <br />. Roy RonM4 Oowmor ~\ <br />DEPARTMENT OF NATURAL RESOURCES <br />MINED LAND RECLAMATION DIVISION <br />FneD a. /AriTA Dlnetx <br />APPLICATION FORM FOR A REYISI011 <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This fora must De caapleted and submitted with all requests for minor revisions. as defined <br />tm Rule 1.04(73). technical recisions as defined in Rule 1.04(36) and genii reH :ions. as <br />defined 1n Rule 1.04(90). All revisions are to iddress the requirements of Rule 2.08.4. <br />Three copies of your recision including ^aps must be submitted in order for it to be complete <br />All revisions are to be formatted so they can be 1rserted into the permit to replace the <br />revised sections. maps. tables and/or figures. Explain to the revision what section is being <br />revised. The rerisioa date should be printed in the lower ri¢It corner of the revision <br />pages. It necessary. the Table of Contents should also be revised. Nhen the f1na1 venioa <br />of the revision is approved, 7 copies must be sent to 091 in Denver for Federal mines and for <br />raa-Federal mines 1 coipr must be sent to OS?i at 625 Silver Avenue. SY~ Su1te 310. <br />Albuquerque. New Mexico 87102. The revision may not proceed until 091 has been provided <br />copies. Copies should be sent urtlfled mall. <br />..ate: 03 _/ 24 / 89 <br />!enittee: Energ~Fuels Coal_ Inc. _ _ _ _ _ _ <br />Street: 1190 County Road 92 <br />Cibr: Florence ________________ <br />StaLa: CO Zip Code: 81226 _ _ _ _ _ _ <br />Permit No.: C - 8L - ,~~ _ - <br />s x n son: <br />~rpe of Rsrision: _ _ (PR. TR. or MR) <br />Revision Nl~ber _ _ (Sequential by Recision Type) <br />Revision S+rbmitgl.Datx / / (Date Received by Division) <br />Revision Completeness Data _/ / Revision Incompleteness Date _/ / <br />Revision Adequacy Due Date _/ / Revision Adequacy Date _/ /_ <br />Recision Decision Due Date / / Fee f0.00 <br />Brief Description of Recision: Coal Refuse Pile E~ansion <br />Public Notice Attached -Yes ,~ 1(0 -(~qu~re~ 1rr~R s andltt s)- - - <br />- <br />Bond Increase: Federal <br />Tes No ~ Non-Federal X Mine <br />proposed Change 1n: <br />- Disturbed Area (+/-) <br />7.5 Acres Affected Area (+/-) <br />7 . 5 Acres <br />perratt Arai _ _ <br />(+/-) Acres Federal Lind _ ~ <br />(+/-) <br />Acres <br />State Land I+/-) - - _ - Aens Private Land _ _ <br />(+/-) ~ Acres <br />lead Reclamation Spec'iil~st ~~ _ 6185E (1~r. 2~) <br />123 Gntanntai BulldinD, 1313 SMrman Strwt D~nwr, Colorado a0203.2273 TEL 1303) 86e.1567 <br />