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t =I COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />k e=%1313 Sherman Street, Room 215, Denver, Colorado 80203, (303) 866-3567 <br />RECavED <br />APPLICATION FORM FOR A REVISION 23 7019 <br />'division .o; Key r, <br />TO A COAL MINING AND RECLAMATION PERMIT !1irrirxgy, <br />This form must be completed and submitted with all requests for minor revisions, as defined in Rule 1.04(73), <br />technical revisions, as defined in Rule 1.04(136), and permit revisions, as defined in Rule 1.04(90). All revisions <br />are to address the requirements of Rule 2.08.4. Three (3) copies of the revision, including maps, must be <br />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, maps, <br />tables and/or figures, with a revised table of contents, if necessary. The revision submittal date should be printed <br />in the lower right corner of each revision page. A cover letter to the revision should explain the nature of the <br />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 list <br />(except OSM) at the same time the application is submitted to the Division, and proof of distribution must be <br />submitted to the Division along with the application. Copies of revision pages modified during the review process <br />must be distributed in the same manner, along with proof of distribution. Proof of distribution must be submitted <br />prior to implementation of the revision. <br />Permit No.: C - q 70 - B0(o Date: 0 J8 l 17 / 2 0 /0 <br />Permittee: kERR GOAL COM tPA"y <br />Street: ENERGY FUELS COAL, INC. <br />City: <br />State: Zip Code: - <br />Brief Description of Revision: CORRECT/o%/ TO /LL US7/QPf710A1 0n/ MAP <br />Na 36f, KERR I_6AmuTf8REA POs-rmujuk;- <br />TOPGc.AAPHV mAP i b tNcLUOE Tf{E <br />i_y,iSTIA/G irR&t49ATioA1 Dt (" . <br />Public Notice Attached: YesF No (Required for PRs and TRs) <br />Bond Increase: Yes 17 No77 Federal Non-F ederal Mine <br /> <br />Proposed Change in: <br />Permit Area - Surface Ownersh ip - <br />Disturbed (+/-) _ _ O . O Acres Private Land 0 Acres <br />Permit O , O Acres Federal Land D . O Acres <br />Affected a O Acres State Land V 0 Acres <br />Mineral Ownership - <br />Mineral Private 0 0 Acres Mineral State (+/-) _ _ 0 d Acres <br />Mineral Federal 0 . 0 Acres