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1 <br />UNITED STATES POSTAL SERVICE <br />SENDER: <br />• Complete items 1 and/or 2 for additional services. <br />• Complete items 3, 4a, and 4b. <br />• Print your name and address on the reverse of this form so that we can return this <br />card to you. <br />• Attach this form to the front of the mailpiece, or on the back if space does not <br />permit. <br />• Wnte'Retum Receipt Requested' on the mailpiece below the article number. <br />• The Retum Receipt will show to whom the article was delivered and the date <br />delivered. <br />3. Article Addressed to: <br />5. Received By: (Print Name) <br />• Print your name, address, and ZIP C4E p <br />State of Colorado MAR 18 2013 <br />Department of Natural Resources Division of Reclamation, <br />Division of Reclamation, Mining & Safeifning & Safety <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 PUNT OF CIVIL PENALTY NOTICE OF PROPOSED AM <br />REQUEST FOR CONFERENCE <br />• C-1981 -014 <br />jhbIAH <br />I " i :: )r 04,902 •• = tom.. <br />I r I ; • r •= y•, ?: =:!: •�- t •tf i . i• t. r l t' li Fpe- <br />• : tflt fill'! : `ii <br />Energy Fuels Coal, Inc <br />P.O. Box 459 <br />Florence, CO 81226 <br />7009 2820 0003 5700 6892 <br />4b. Service Type <br />D Registered <br />❑ Express Mail <br />7. Date of Delivery <br />am = J� <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G -10 <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. ❑ Addressee's Address <br />2. ❑ Restricted Delivery <br />Consult postmaster for fee. <br />jit Certified <br />❑ Insured <br />❑ Retum Receipt for Merchandise ❑ COD <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />6. Signatu�rAddresseeprA <br />• PS For - 811, December 1994 Domestic Return Receipt <br />