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s <br />~~ <br />. ~^~ . <br />• •~• <br />;~ 76~ <br />Nidurd D. Lunen <br />Dw~mor <br />• <br /> <br /> <br />- <br />DEPARTMENT OF NATURAL RESOURCES <br />D..+e K e.KMa ttuew+ Du.o+or <br />MINED LAND RECLAMATION DIVISION <br />DAVID C. SMELTON, Dlndw <br />APPLICATION FORM FOR A REVISION <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This form must be completed and submitted with all requests for minor revisions, as <br />defined in Rule 1.04(73), technical revisions as defined in Rule 1.04(36) and permit <br />revisions. as defined 1n Rule 1.04(90). All revisions are to address the requlretoents <br />of Rule 2.08.4. <br />A11 revisions arc to be formatted so they can be inserted into the permit to replace the <br />revised sections. maps. tables and/or figures. Explain in the revision what section is <br />being revised. The revision date should be printed in the lower right corner of the <br />revision pages. If necessary, the Table of Contents should also be revised. <br />Date: 0 9/ 3 0/ 8 7 ' <br />Perroittee: ENERGY FUELS COAL,L ~Cz _ _ _ _ _ <br />50UTHFIELD M7~1~ _-_ _ _ T _ _ _ <br />Street: P.O. BOLO 449_ _ ~ ` ~ _ _ _ _ <br />119 0 ~COUN'j'y ,8p ~9,Z,. _ _ , _ _ _ _ <br />City: FLORF,~ICL______,-,_________._ <br />State: ~,Q Zip Code: g L Z Z ~. - _ _ _ <br />Permit No.: C - g L - ~ L ~ <br />This box to be f111ad in Dy the Division: <br />Type of Revision: _ _ (PR, TR, or MR) <br />Revision Number _ _ (Sequential by Revision Type) <br />Revision Submittal Date _/ / (Date Received by Division) <br />Revision Completeness Date _/ / Revision Incompleteness Date _/ / <br />Revision Adequacy Due Date _/ /_ Revision Adequacy Date _/ / = <br />Revision Decision Due Date / / Fee f0.00 <br />Brief Description of Revision: RoCx DUST $T9.R8Sa~T'BblK~''BCILITY _ . <br />- - - - - - - - - - - - - - - - - <br />Public Notice Attached - Tes _ No (Required for PR's and TR's) <br />Bond Increase: Ves x No <br />Proposed Change in: <br />Dtsturtied Area (+/-) _ _ ~,~ Acres <br />Permit Area (+/-) _ _ _ _ Acres <br />State Land (+/-) _ _ _ Acres <br />Lead Reclamation Specialist G R S <br />Affected Area (+/-) _ _ _ _ Acres <br />Federal Land (+/-) _ _ _ Acres <br />Private Land (+/-) _ _ _ Acres <br /> 6185E <br />423 Centennial Building. 1313 Sherman Street Denver, Colorado 80203 Tel. (303) 888.3567 <br />