peabody midwest mining, llc - amendment request for

Central Prepara\:iol."!. Plan'~ STREET STREET

Sl'.BIA, Inc

[F ~~H.,~GlE St~r~p·fv~E~·~Jl'~ CHEC!{ BOX BELOW

6280 8. County Road 1025 East 10919 Technology Place Suite .A CITY. STATE/PROVINCE, ZIP/POSTAL CODE

Oakland City, IN 47660 BtU. fO

STREET

10919 Technology Place CITY, STATE/PROVINCE. ZIP/POSTAL CODE

San Diego, CI-\. 92127 ACCOUNT CODE

Suite -~

(TELEPHONE)

(TELEPHONE)

( 8 58 ) 21.'7 - 2 2 0 0

CITY, STATE/PROVINCE, LIP/POSTAL CODE

San Diego, Cll •. 921.27 CUSTOMS BROKER

STREET

CITY, S I ATE/PROVINCE, ZIP/POSTAl CODE

l~lfrJIBER SHIPPING

UNITS

KIND OF PACKAGING, DESCRIPTIO!; OF ARTICLES. SPECIAL rviARkS AND EXCEPTIONS 1-!M Hazardous material sequence (ISHP) must read: UN/NII 10#. proper Shipping name. Hazanf class and Pacl<ing group

(SUBJECT TO 11-JSPECTION ?NO CORRECTION) NMFC NO.

1 UN3332, Radioactive Material, Type A Package, Special Form, Non Fissile, Class 7, Californiuw.-252 164900-2

solid CfPd alloy, j;;jt "/ s··=--"· l Tvoe A Packaqe x 0 • 31 Gbq ... TI: w .::_) .;

LABELED "RADIOACTIVE YELLOW III" PLACARDS REQUIRED

Emergency- Contact: Chemtrec 800-424-9300 CCN: 19389

CODAMOUN~S---------ou.s. 0 Canadian

COD Fee:

0 Prepaid 0 Collect

NOTE: Consignee's company check made payable to the Shipper will be accepted by XPO logistics Freight and forwarded to shipper unless otherwise directed to do so by the shipper.

REMIT COD TO

ADDRESS

CITY STATE/PROVINCE

(TELEPHONe)

(85B) 2~L'7-2200

(TELEPHONE)

CLASS OR DENS!lYOF ARTIClES

100

WEIGHT (Subject to Correction)

"lb kg

275

ZIP/POSTAL CODE

t~otice: Unless the Shipper complete~ the requirements as_proyided pelow, C,arrier'~ liability shall be limited as s_t~ted he~in and in Tariff CNWY-.199 in effect on date of shiprne.nt, which is ,available on 1u1e at www.xpo.corn or maY. be obtained upon reguest to earner. Shipment 1s subJect to tl1e release value prov1s1ons ot the NMFC as set fo11h rn paragraph 2 on the reverse s1de of thrs 8111 of Lading. !~no even! snail C~rrier be liable for loss of profit, income, interest, attomey fees, or any special, incidental or consequential damages.

Cerrier liability with shipment orighlatin!l with;n the United States: Carrier's liability shall be based 011 actuall~MFC class of the shipment and is limited between $1.00 and $25.00 per pouncl as set forth in Taliff CNWY-199. Gamer's liability for all household aoods, personal effects. and articles other n new, includin~ but not limited to ~sed, remanufactured or refurbished articles shall not ~xceed $1.00 per ROUnd per inclividu?IIQ;;t or dafl)aged piec![within th~ shipment. Cilr(ie(s ~iglles liabilitY. 1s S25.UO per pound per indrviduallQst or dqrnaged piece within the shiP,m\?nt. subject to $150,000.00 max1mum total li;Jbllrty per shipment. Sl11pper may rncrease Carner s limits on I the Sh•pper declares excess value on tile Bill of Lading oelow, requests excess liability coverage from the Carrier and pays an additional cl1arge. For this purpose the declared yalue of the pr ere by speciftcally stated by the Shipper to be$ ___ , and Shipper agrees to pay an additional charge for excess liability coverage. Tot aT declared value may not exceed !;650,000.00 per shipment.

Carri ith shipment originating within C;mada: Unless the Shipper comJ?Ietes tile Special Agreement below, declares the value in the box below and agrees to pay the excess liability charge by ini e indicated, Carrier's maximum liability is CAN$2.00 per oound (CANS4.4"i per kilogram) per individual lost or damaged piece within the shipment, subject to a maximum total liability per shi~ CAN$2o

1ooo.oo, and provided further that Carrier's liability on household goods, personal effects articles other than new arHcles, including but not lim1ted to used, remanufactured or

refurbished articles, shal not exceed one dollar ($1.00) (CAN) per pound per individual lost or damaged piece within the shipment

SPECIAL AGREEME~n: Declared Value: CAN$------ per pound. (Declared value may not exceed CAN $100,000.00 per shipment.) Shipper agrees to pay excess liability charge (Shipper's Initials)

Where the NlviFC classification is dependent on value, shippers ar·e required to state specifically below in writing the declared value of the property as follows: Tile declared value of the property is specifically stated by the shipper to be not exceeding S '

Shipper's Cerliffcation: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name. and are classifred, packaged, marked and labeled/ placarded, and are in all respects in proper condition for transport according to applicable international and national governmental regulations.

Shipment Received: The shipment is received subject to Tariff CNWY-199, Carrier's pricing schedules, terms, conditions and rules maintained at Carrier's general offices in effect on the date of issue of this Bill of Lading, as well 'as the National Motor Freight Classifications (NMFC), the Ha7.ardous Materials Transportation Regulations (Title 49 - CFR. Subtitle B. Chapter l, Sub Chapter A-C), and tile Household Goo cis Milea\le Guide (HHGB 105 Series), for shipments or'1ginating in the United States; and the Canadian Motor Vehicle Transport Act, the Transportation of Dangerous Goods Act, and the regulations in Ioree 1n the provincial jurisdiction at the time and place of the shipment for shipments· originating in Canada. The prope11y described on tl1is Bill of Lading is in apparent good order, but only to the extent that it IS unconcealed and visible without Furtl1er inspection and except as noted or marked. The property is consigned and destined as indicated above. The word Carrier is defined throughout this contract as meaning any person or corporation in possession of the property under this contract. It is rnutually agreed as to Carrier and each party at ani' time interested in all or any of said property, that every service to be performed hereunder shall be subject to all of this Bill of Lading's terms and conditions in effect on the date of shipment, including, but not limited to, the 'Terms and Conditions" listed on the back side of this Bill of Lading.

SHIPjE)R I ' . · ' r.:' y. ._, ___ \ ,.,,_ ~A~~~R LOGIS'f!CS FREIGHT, INC. ( ")] h? •. b{.~)':"l .5th,,/~;.' M. [.J;-ht"f.r)l'1.~L--H:: .. / o xPo LOGiSTICS FREIGHT cANADA INC. ·

AUTHORIZED SI~TURE /' ) // ............ -_-./-·? 1\UTI·IOJIZ~D SI,GNATt.f.aE··- D

1

,AT.E" "'5!--.. ~-·-.-~-.. '· ~--· 7 ... . ..John 1--iag!ey I c .. /·C ,, .... --....... ..· ~'VL. K~ - - · '-------------,.~._.::.:, .. , .. "':. £:·=------------·--.•'_.J -·--·,·,'·~',· •. ',',·',·.,_,,,,'===---------------"-N"'U:..Iv-iB-,E"'·R~. 0-F-4UNITS RECEIVED .;fr,, fHIYl? nn r'lfl/l r::.;) Dri·~!"'rl ;,, II(~!:. _ .r

1 0919 Technology Place, Ste A San Diego, CA 92127

Bus: (858) 217-2200 Fax: (858) 217-2203

NRC License# 11-27727-01 CA License# 6663-37

. Packing List and Product Certification

Ship From

Somerville Central Preparation Plant 6280 S. County Road 1025 East

Oakland City, IN 47660

P.O. Number

Source Manufacturer Contact Information

Frontier Technology Corporation 1641 Burnett Drive Xenia, OH 45385 (937) 376-5691

Shipping Information

Ship To

SABIA, Inc 10919 Technology Place Suite A

San Diego, CA 92127

Recipients Nuclear License Number

NRC License# 11-27727-01

Date Shipped

Feb 6, 2020

Shipped via

XPO

Shipping Container Type: DOT? A Type A ' ..-·

Transportation Index :S '_> mremlhr

Container Model Number Container Serial Number Weight (kgllbs)

50220 2381 275

Radiation Information

Meter Type Manufacturer Model No. Serial No.

Gamma Ludlum 12-4 215352

Neutron Ludlum 42-31 PR216898

Radiation Level (mremlhr)

Radiation Type On Contact At One Meter

Gamma 3D (Is-Neutron d0 d

Total )0 3J~

3000008 Rev G CONFIDENTIAL© SABIA

Seal Number

Calibration Date Calibration Due Date

Dec 31,2019 Jun 30,2020

Dec 31,2019 Jun 30,2020

Contamination Level:

alpha < 20 dpm I 100 cm2

beta < 200 I 1 00 cm2 gamma < 1 000 I 100 cm2

Page 1 of4

Source Data as of:

Isotope Cf-252 Serial Number Model Number Source Activity (ug) Source Activity (GBq) Contamination/100 cm2 (per source)

alpha < 20 dpm Cf-252 FTC-CF-3660 100SNS 3.91 0.078 beta< 100 dpm

gamma< 1000 dpm

alpha< 20 dpm Cf-252 FTC-CF-~,. 100 1.68 0.034 beta< 100 dpm

/..14~ I gamma < 1000 dpm

alpha< 20 dpm Cf-252 FTC-CF-~ 100 1.65 0.033 beta< 100 dpm

c..i'1~Q gamma < 1000 dpm

alpha< 20 dpm Cf-252 FTC-CF-6749 100S 8.14 0.163 beta< 100 dpm

gamma < 1000 dpm

alpha < 20 dpm beta< 100dpm

gamma< 1000 dpm

alpha < 20 dpm beta< 100 dpm

gamma < 1000 dpm

Other Isotopes Serial Number Model Number Source Activity (mCi) Source Activity (GBq) Contamination/1 00 cm2 (per source)


gamma < 1000 dpm

alpha< 20 dpm beta< 100dpm

gamma < 1000 dpm


gamma < 1000 dpm

I alpha < 20 dpm beta< 100 dpm

gamma < 1000 dpm

Certifications Notice: A radiation safety specialist must be present when this container is opened

Special Form: (If Applicable) At the time of shipment, the sources in this shipment met the requirements for special form.

Leak Test: The sources in this shipment have passed the applicable leak test

Certificate of Conformance: The products covered by this document are certified to meet the requirements of the contract.

Certificate of Origin

Approval for Shipping Date Feb 6, 2020

~ Date

FSE Signature .. Reviewer Signature

Printed Name John Hagley Printed Name

Digital Signature Digital Signature

3000008 Rev G CONFIDENTIAL ©SABIA Page 2 of4

Radioactive Source Shipment Survey Form

CUSTOMER INFORMATION Site Name and Address

Somerville Central Preparation Plant 6280 S. County Road 1 025 East Oakland City, IN 47660

Site Contact lora Martin

Date of Source Shipment

Feb 6, 2020

SABIA Inc. Field Service Engineer Printed Name

John Hagley

SABIA Inc. Field Service Engineer Signature

Phone Number! .._8_12_-_7_95_-_40_3_3 ____________ _, SABIA Reviewer Signature

E-mail Address [email protected]

SOURCE DATA Type of Source Quantity Type of Radiation Emitted

Cf-252 4 Neutron, Alpha, Beta, Gamma

SHIPPING CONTAINER DATA Container Type. Container Model Number

DOT7ATypeA 50220

Neutron Ludlum 42-31

Gamma Ludlum 12-4

Leak Test SE International Inspector

RADIOLOGICAL CONTROL

Removable Contamination > 185 Bq or 0.005 uCi ?

0 Yes- This container is contaminated

@No -This container is NOT contaminated

Source Identification

FTC-CF-3660, FTC-CF-qg9f, FTC-CF~ & FTC-CF-6749

'-ltibJ ~"f({i"f)

Container Serial Number Weight (kg/lbs)

2381 275

PR216898 Dec 31,2019 Jun 30,2020

215352 Dec 31,2019 Jun 30,2020

10395 Oct4,2019 Oct4, 2020

Radiation Levels of Container (mRem/hr}

Radiation Type On Surface 1 Meter

Gamma 3D d-Neutron ;:)0 f .s-

3000008 Rev G CONFIDENTIAL ©SABIA Page4of4


Bus:+ 1 (858) 217-2200 Fax:+ 1 (858) 217-2203


Emergency Response Information for Californium-252 (Cf-252) Sources

24 Hour Response: (800) 424-9300 CCN:19389

SOURCE INFORMATION

Date: February 6, 2020 Radiation Level (mrem/hr)

Source: Cf-252

Activity: 0.31

Form: Solid

UN Number: 3332

GENERAL INFORMATION

Neutron, Gamma- dose Alpha- contamination

INSTRUCTIONS

Source Intact

+ DO NOT TOUCH SOURCE

Radiation Type Surface

GBq Gamma 3'U Neutron

~0 V'"

Total so

Palladium cermet wire double encapsulated in a stainless steel capsule.

1 meter

;;2 ,,"')

3·<)

+ Place source back into the shipping container or a secured storage area. When handling source, use remote handling tools (tongs or pliers). The detector assembly can be handled directly.

+ When moving the source, keep as much distance as possible between your person and the source.

Source Crushed

+ DO NOT TOUCH BROKEN CAPSULE OR POWDER + Rope off area approximately 1 0 feet around the source. + Keep personnel away from area to prevent contamination. + Personnel who may have walked through contaminated area or have accidentally touched the source should be

segregated into a holding area to be checked for contamination. + Notify the Radiological Emergency Response Organization in the area in which the accident occurred.

3000012RevE CONFIDENTIAL ©SABIA Page 1 of 1


Bus:+ 1 (858) 217-2200 Fax:+ 1 (858) 217-2203


Nuclear Source Leak Test Report

Site Name and Address

Somerville Central Preparation Plant 6280 S. County Road 1025 East Oakland City, IN 47660 USA

Analyzer/Gauge Model

rsABIA, Inc. XC-5000~25 Serial Number

l1204-6oo37o-o011

Date of Leak Test

l?r~~~~i~ --------~---~------

Site Contact SABIA Inc. Field Service Engineer Printed Name

n Hagley

Phone Number 1812-795-4033 ........................................................................ SABIA Inc. Field Service Engineer Signature

E-mail Address [email protected] . ~- ,92. ..........__ ~ Test Equipment Used to Perform Leak Test

Instrument Type Instrument Mfg. Model# Serial# Calibration Date Calibration Due

Geiger-Mueller SE International Inspector 10395 Oct4,2019 Oct4, 2020

Test Results

Reason for Leak Test

Decommission

Sealed Isotope Isotope Serial# Activity Level Activity Measured In Smear Contamination Level (Measured in microcuries)

Cf-252 FTC-CF-3660 3.91 micrograms Less than 0.005

Cf-252 FTC-CF-~4-ifil 7 1.68 micrograms Less than 0.005

Cf-252 FTC-CF-~ Lfi.J(/0 1.65 micrograms Less than 0.005

Cf-252 FTC-CF-6749 8.14 micrograms Less than 0.005

Reviewer Signature Reviewer Title Review Date

The Leak Test results documented by this report were obtained using a wipe (smear with a cloth patch) test in accordance with ANSI N5.1 0- 1968 Appendix Section B2.1. A nuclear source such as the Cf-252, Cs-137 and Am-241 isotopes tested herein are deemed acceptable by State and Federal authorities if the contamination found on a smear test is less than .005 microcuries, Alpha, Beta

and Gamma contamination is measured in the Cf-252 smear and Beta and Gamma in the Cs-137. NRC License Number, 11-27727-01, 4323 Commerce Circle, Suite B, Idaho Falls, ID 83401 State of California License Number, 6663-37, 10915 Technology Place, San Diego, CA 92127

3000006 Rev H ~ABIA, Inc. Copyright© 207 8- CONFIDENTIAL Page 1 of 1

1. LICENSEE INFORMATION

NRC FORM 748B(10-2019)10 CFR 20.2207

TRANSFER SOURCE NATIONAL SOURCE TRACKING TRANSACTION REPORT

U.S. NUCLEAR REGULATORY COMMISSION

NRC FORM 748B (10-2019)

APPROVED BY OMB: NO. 3150-0202 EXPIRES: 09/30/2022

A. LICENSEE NAME B. LICENSE NO. C. LICENSEE STREET ADDRESS

A. NAME OF PREPARER B. DATE PREPARED C. PREPARER PHONE

4. PREPARER INFORMATION

(Only transactions completed on the samedate may be reported together on this form) NEW CORRECTION

3B. TRANSACTION TYPE (Check all that apply)

REPORT SOURCE RECEIPTTRANSFER

DISASSEMBLE

DISPOSAL

NEW SOURCE MANUFACTURED

IF CORRECTION, PREVIOUS TRANSACTION DATE:EXPORTIMPORT

D. PREPARER E-MAIL (REQUIRED FOR CONFIRMATION)

3A. TRANSACTION INFORMATION2. TRANSACTION DATE

F. ZIP CODEE. STATED. CITY

INVENTORY

6. SOURCE TRANSFER DATA

G1. SOURCE MAKE H1. SOURCE MODEL I1. SOURCE SERIALNUMBER

J1. ISOTOPE K1. ACTIVITY ANDUNIT

L1. ACTIVITYDATE

P1. COMMENTS

M1. WASTE MANIFEST NO.(For waste shipments only)

C1. RECEIVING LICENSEE SHIPPING ADDRESSB1. RECEIVING LICENSEELICENSE NO.

A1. RECEIVING LICENSEE NAME

N1. CONTAINER ID (For waste shipments only)

O1. ESTIMATED ARRIVAL DATE

F1. ZIP CODEE1. STATED1. CITY

Estimated burden per response to comply with this mandatory information collection request: 9.5 minutes. NRC requires this information to populate the National Source Tracking System for certain sealed sources. Send comments regarding burden estimate to the Information Services Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e-mail to [email protected], and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, (3150-0202), Office of Management and Budget, Washington, DC 20503. If a means used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection.

Page 1

WARNING: FALSE STATEMENTS IN THIS CERTIFICATE MAY BE SUBJECT TO CIVIL AND/OR CRIMINAL PENALTIES. NRC REGULATIONS REQUIRE THAT SUBMISSIONS TO THE NRC BE COMPLETE AND ACCURATE IN ALL MATERIAL RESPECTS. 18 U.S.C. SECTION 1001 MAKES IT A CRIMINAL OFFENSE TO MAKE A WILLFULLY FALSE STATEMENT OR REPRESENTATION TO ANY DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MATTER WITHIN ITS JURISDICTION.

Peabody Midwest Mining 13-26785-01 566 Dickeyville Rd. Lynnville 47619

Karen Risner 4/7/21 [email protected]

Submit by Email

IN

SABIA, Inc 11-27727-01 10919 Technology Place Suite A San Diego 92127

Frontier Technology 100SNS FTF-CF-3660 2/6/20

2/8/20

CA

GBq0.078Cf-252

NRC FORM 748B(10-2019)10 CFR 20.2207


NRC FORM 748B (10-2019)

LICENSE NO.LICENSEE NAME



L2. ACTIVITYDATE

P2. COMMENTS









L3. ACTIVITYDATE

P3. COMMENTS




N3. CONTAINER ID



(For waste shipments only)

6. SOURCE TRANSFER DATA (continued)

Page 2


(continued)



Frontier Technology 100 FTC-CF-44672/6/20

2/8/20


Frontier Technology 100 FTC-CF-44682/6/20

2/8/20

CA

CA

GBq0.034

GBq0.033

Cf-252

Cf-252

NRC FORM 748B(10-2019)10 CFR 20.2207


NRC FORM 748B (10-2019)

LICENSE NO.LICENSEE NAME

6. SOURCE TRANSFER DATA (continued)



L4. ACTIVITYDATE

P4. COMMENTS









L5. ACTIVITYDATE

P5. COMMENTS




N5. CONTAINER ID



(For waste shipments only)


(continued)

Page 3



Frontier Technology 100S FTC-CF-67492/6/20

2/8/20

GBq0.163

CA

Cf-252

INSTRUCTIONS TO NRC AND AGREEMENT STATE LICENSEES FOR REPORTING HIGH-RISK SEALED SOURCE TRANSACTIONS The completed form is considered to be Official Use Only – Security Related Information; it is not considered to be Safeguards Information. Use an addendum sheet for reporting additional sources.

Note to Licensees: This form may be used to report source transactions in lieu of using the NSTS online application. Sections 1-4 on Page 1 of the form are required for all source transaction types. Sections 5-12 should only be populated for the associated Transaction Type (3B) selected. For example, when reporting a Source Transfer and a Source Export, Sections 6 and 11 should be populated. Multiple Transaction Types may be selected if they occur on the same Transaction Date, and should be reported on NRC Form 748. Licensees reporting only one transaction type may use the condensed form for the Transaction Type. For example, when reporting a Source Receipt, NRC Form 748c should be used.

1. Licensee Information – Enter the name, license number, and street address of the licensed facility.

2. Transaction Date – Enter the date the transaction occurred, which would be the date of the transfer, receipt, manufacture, etc.

3. Transaction Information and Transaction Type – Indicate if this is a new transactionor a correction. For corrections, select the date of the previously submitted transaction that the correction should be associated with. Select the Transaction Type. Report Source should only be used for initial inventory submissions, or to report a source excluded from the initial inventory submission. Dispose Source should only be used by a Disposal Licensee. If you are sending your source back to the manufacturer, or sending it to a disposal facility, the transaction should be recorded as a Transfer. Multiple Transaction Types may be selected if they occur on the same Transaction Date.

4. Preparer Information – An email address is required for a confirmation. Forregulatory purposes, your source transaction report is not considered complete without a confirmation from the NSTS Help Desk that the transaction report has been received.

5. Source Inventory Data – This section should only be used for initial inventory submissions. The Make, Model, and Serial Number refer to the Source, not the Device. All fields are required in Section 5 EXCEPT G. Comments. If the licensee is reporting multiple sources on the Source Inventory transaction at the same Source Location Address, the location address information may be populated once, and referenced in the Comments block for the additional sources.

6. Source Transfer Data – For Transfer transaction reports, all fields in Section 6 are required EXCEPT M. Waste Manifest Number, N. Container ID, and P. Comments. If the licensee is reporting multiple sources on the Transfer transaction to the same Receiving Licensee, the receiving licensee information may be populated once, and referenced in the Comments block for the additional sources.

7. Source Receipt Data – For Receipt transaction reports, all fields in Section 7 are required EXCEPT M. Waste Manifest Number, N. Container ID, and T. Comments. If the licensee is reporting multiple sources on the Receipt transaction at the same Source Location Address, the location address information may be populated once, and referenced in the Comments block for the additional sources.

8. Source Disposal Data – For Disposal transaction reports, all fields in Section 8 are required EXCEPT J. Comments. If the licensee is reporting multiple sources on the Disposal transaction at the same Source Disposal Address, the source disposal address information may be populated once, and referenced in the Comments block for the additional sources.

9. New Manufactured Source Data – For New Manufactured Source transaction reports, all fields in Section 9 are required EXCEPT F. Comments. If the licensee is reporting multiple sources on the Manufacturer transaction at the same Source Location Address, the location address information may be populated once, and referenced in the Comments block for the additional sources.

10. Source Import Data – For Import Source transaction reports, all fields are required EXCEPT L. Comments. If the licensee is reporting multiple sources on the Import transaction at the same Source Location Address, the location address information may be populated once, and referenced in the Comments block for the additional sources.

11. Source Export Data – For Export Source transaction reports, all fields are required EXCEPT M. Comments. If the licensee is reporting multiple sources on the Export transaction to the same Foreign Company/Foreign Address, the information in cells A-E may be populated once, and referenced in the Comments block for the additional sources.

12. Source Disassemble Data – For Disassemble Source transaction reports, all fields are required EXCEPT H. Comments. If the licensee is reporting multiple sources on the Disassemble transaction at the same Source Location Address, the location address information may be populated once, and referenced in the Comments block for the additional sources.

DISTRIBUTIONFor most timely processing, click the "Submit by Email" button on page 1. You may also: > manually submit this form by email to: [email protected], > FAX to: 1-888-821-2534, or > mail to: NSTS Help Desk 30 West Gude Drive, Suite 300 Rockville, MD 20850

1

Song, Taehoon

From: Cender, LauraSent: Thursday, April 08, 2021 3:37 PMTo: Tomczak, TammyCc: Song, Taehoon; Pavon, SandySubject: FW: RE: NRC Materials License No. 13-26785-01Attachments: Amendment Request 4.8.21.pdf

Hello Tammy, Please process the attached file in as a new license amendment request. Licensee: Peabody Midwest Mining, LLC License No. 13‐26785‐01 Docket No. 030‐34405 Thank you, Laura

From: Risner, Karen M. <[email protected]> Sent: Thursday, April 08, 2021 1:20 PM To: Cender, Laura <[email protected]> Cc: Boswell, James <[email protected]> Subject: [External_Sender] RE: NRC Materials License No. 13‐26785‐01

Laura, A signed and dated cover letter requesting a license amendment is attached. Thank you, Karen

From: Cender, Laura <[email protected]> Sent: Thursday, April 08, 2021 11:13 AM To: Risner, Karen M. <[email protected]> Cc: Boswell, James <[email protected]> Subject: RE: NRC Materials License No. 13‐26785‐01 Hello Karen, Thank you for reaching out regarding your interest in amending your NRC license. Could you please provide a signed and dated cover letter to accompany your request? Unfortunately our document management system cannot accept unsigned emails for formal licensing requests at this time. The content of the letter may essentially copy what you included in the email below, but should be signed by either the radiation safety officer or responsible plant management. Please let me know if you have any questions.

2

Thank you, Laura

From: Risner, Karen M. <[email protected]> Sent: Thursday, April 08, 2021 9:58 AM To: Cender, Laura <[email protected]> Cc: Boswell, James <[email protected]> Subject: [External_Sender] NRC Materials License No. 13‐26785‐01

Laura, Peabody Midwest Mining, LLC requests to amend Materials License No. 13-26785-01. We are no longer in possession of the sources listed in Part 6C for Somerville Central Preparation Plant. I have attached NRC Form 748B showing the transfer of the sources to SABIA, Inc on 2/6/20. I’ve also attached the shipping paperwork and source acknowledgment from SABIA, Inc. Please let me know if any further paperwork or correspondence is necessary. Thank you, Karen Risner Specialist Environmental Peabody 566 Dickeyville Rd | Lynnville, IN 47619 Office Phone: (812) 922‐1048

[email protected]

peabody midwest mining, llc - amendment request for

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