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.., COLORADO DIVISION OF RECLAMATION, MINING AND SAFETRECE'V® <br />1313 Sherman Street. Room 215, Denver. Colorado 80203. (303) 866 -3567 <br />AUG 0 7 2013 <br />APPLICATION FORM FOR A REVISION DMSION OF RECLAMA110N <br />TO A COAL MINING AND RECLAMATION PERMIT <br />MINING AND SAF>ri'Y <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 - 1,981 - 14 Date- 08 107 /2013 <br />Permittee: Energy Fuels Coal, Inc. <br />PO Box 459 <br />Street: 115 East Main St <br />City: Florence <br />State: CO Zip Code: 81226 _ <br />Brief Description of Revision: Additional information in response to the Midterm <br />Review (MT -6) <br />Public Notice Attached: Yes❑ No ❑✓ (Required for PRs and TRs) <br />Bond Increase: Yes❑ No❑✓ Federal ❑ Non - Federal ❑✓ Mine <br />Proposed Change in: <br />Permit Area - <br />Disturbed ( + / -) _ _ —0. 0 Acres <br />Permit ( + / -) _ _ 0 0 Acres <br />Affected ( + / -) _ _ 0 0 Acres <br />Mineral Ownership - <br />Mineral Private ( + / -) _ _ 0 0 Acres <br />Mineral Federal ( + / -) _ _ 0 0 Acres <br />Surface Ownership - <br />Private Land ( + / -) _ _ 0 . 0 Acres <br />Federal Land (+I-)_ _ 0 0 Acres <br />State Land ( + / -) _ _ 0 0 Acres <br />Mineral State ( + / -) _ _ 0 0 Acres <br />