COFFEY ENGINEERING & SURVEYING

May20, 2014 IDJ IE rr; IE U W IE fill /Ill HAY 2 a 2014 ~

902 South 3rd Street • Laramie. WY 82070 www.wyocoffey.com. [PJ 307-742-7425 (FJ 307-742-7403

US Regulatory Commission Region IV Lizzette Roldan-Otero, PH.D. 1600 East Lamar Boulevard Arlington, TX 76011-4511

DNMS

RE: Change in RSO and Increase in Troxler Possession limit - NRC License No. 49-29281-01

Dear Lizzette:

This letter is to inform you and the US Regulatory Commission of our desire to modify our NRC Materials License as follows:

::=:: We want to change the Radiation Safety Officer from David R. Coffey to Flint Polson. Please find attached documentation supporting his credentials.

::::::.- We want to increase the maximum possession limit to allow possession ofthree Troxler Model 3400 series portable gauges

If you have any questions of concerns or require additional information, please contact me.

Sincerely,

Coffey Engineering & Surveying, LLC

David R. Coffey, PE/PLS CEO ..-.c

Q Immediate Release onnal Release

NON-PUBUC a A.S Sensitive-Security RelatMI C A.7 Sensitive Internal a Other:.----::------

Revtewer: eM Dill:~/ pL/

5 8 39 29

May 20,2014

US Regulatory Commission Region IV Lizzette Roldan-Otero, PH.D. 1600 East Lamar Boulevard Arlington, TX 76011-4511

· COFFEY ENGINEERING & SURVEYING

902 South 3rd Street • Lara11ie. WY 82070 www wyocoffey com • 307 742·7425 I• 307-742 ·7403

RE: Change in RSO and Increase in Troxler Possession limit - NRC License No. 49-29281-01

Dear Lizzette:

This letter is to inform you and the US Regulatory Commission of our desire to modify our NRC Materials License as follows:

> We want to change the Radiation Safety Officer from David R. Coffey to Flint Polson. Please find attached documentation supporting his credentials.

::=:- We want to increase the maximum possession limit to allow possession of three Troxler Model 3400 series portable gauges

If you have any questions of concerns or require additional information, please contact me.

Sincerely,

Coffey Engineering & Surveying, LLC

David R. Coffey, PE/PLS CEO

PUBLIC [J Immediate Release [J Normal Release

NON-PUBLIC [J A.3 Sensitive-Security Rellted [J A.7 Sensitive Internal [J Other: ______ _

Reviewer:. _____ Date: ___ _

H ZMATC 11~' 1;

, .... ,, T as required by U.S. DOT and lATA

Th is certifies that

Flint Lynn Polson

has been t rai ned and tested in accordance with the U.S. Department of Transportation and International Air Transport Association (lATA) hazardous material req uirements for genera l awareness/fa miliarization, funct ion-specific, safety, and security awareness training as related to the transportat ion of nuclear gauges. A description of the training course materials is available f rom Troxler Elect ron ic Laboratories, Inc. This cert ifi cate expires three years from t he training date shown below.

October 16. 2013

EMPLOYER CERTIFCATION I certify that the hazmat em.Pl.Qyee identified on th is certifcate has been tra ined and tested as required by U.S. DOT Haza rdous Mat(t'(fal R~ns (49 CFR 172 Subpart H).

Signatu re 'J: ~r~~ Title Cf';:)

'.1\)

~ . -_} _ __j~J J

The Leader in Construction Testing Equipment

Course: Hazmat Refresher

Troxler Elect ronic Laboratories, Inc. PO Box 12057-3008 Cornwall is Road - Research Triangle Park, NC 27709 Phone: (919) 549-8661 - Fax (919) 549-0761 - www.troxlerlabs.com

Tracking Code:A6AEFGJ76F658HD_45951

r. ~

Certificate of Comj!letion This certifies that

"lii«.t tpitUut,, 1J&

has suGcessfully completed the

Nuclear Gawge SafetyiTraining Class

conducted by the~ trairling department of

Troxler Electro!lic La/JoratorieJ/ 111c. --/

_,_-· ·-~ ··"'// /:' _,.,,/or· / c::::J-l"'z.. / ~~;-<~

Bob Wilson

Instructor February 14, 2008

Date Troxler Elec:ronlc Laboratories, Inc. PO Box 12057 • 3008 Comwallis R·~ . • Resean.'tl Trianole Park. NC 27709 Phone: (919; 54t~8661• Fax: (919)549-0761 • Web sile:wo~~w.toxlerlabs.oorr

wt!!itu!l F. Troxler~ Jr. President

Pass-Certifed to operate Nuclear Gauges 10276156

APNGA Cert if icate of Achievement

This confirms that

Flint Polson

has successfully completed the APNGA Portable Nuclear Gauge

Radiat ion Safety Officer Class

on this day

Friday, December 21, 2012

~eric an Portable Nuclear Gauge .Association (.AP N G.A) W\U w .apnga .com

Coffey En gil ;&;;; rin g B. Surveying 902 S. 3rd St. Laramie, WY 82070

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']_:j~ f1o;'l j<i\ -~'f· 2>0.1"4·· F) j .. i f :1 T ~

Lizzette Roldan-Otero, PH.D. US Regulatory Commission Region IV 1600 East Lamar Blvd. Arlington, TX 76011-4511

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?50ii:±:45i i I Ill i ·li I I I 11'11'11 1' i! I iII· · j I} I I I ' I I I I I i ··I i Ill I I I I I 1'1 iIi tl iiI

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BElWEEN:

Accounts Receivable/Payable

and Regional Licensing Branches

[ FOR ARPB USE ]

INFORMATION FROM WBL

Program Code: 03121 Status Code: Pending Amendment

Fee Category: 3P Exp. Date: 02/28/2018

Fee Comments: Decom Fin Assur Reqd : N

License Fee Worksheet- License Fee Transmittal

A. REGION

1. APPLICATION ATTACHED Applicant/Licensee: COFFEY ENGINEERING & SURVEYING LLC

Received Date: Docket Number: Mail Control Number: License Number:

Action Type:

2. FEE ATTACHED

Amount:

Check No.:

3. COMMENTS

05/20/2014 3037595 583929 49-29281-01

Amendment

Signed:

Date:

B. LICENSE FEE MANAGEMENT BRANCH (Check when milestone 03 is entered

1. Fee Category and Amount:

2. Correct Fee Paid. Application may be processed for:

Amendment:

Renewal:

License:

3.0THER --------------------------------

Signed:

Date:

NRC FORM 532 (1-2012)

DATE

U. S. NUCLEAR REGULATORY COMMISSION

06/04/2014

NAME AND ADDRESS OF APPLICANT AND/OR LICENSEE

Coffey Engineering and Surveying LLC ATTN: David R. Coffey

Radiation Safety Officer 902 S. 3rd Street Laramie, WY 82070

This is to acknowledge the receipt of your:

[{] LETTER and/or [{] APPLICATION

LICENSE NUMBER

49-29281 -01

MAIL CONTROL NUMBER

583929

LICENSING AND/OR TECHNICAL REVIEWER

cmurnahan

DATED: 05/20/2014

The initial processing, which included an administrative review, has been performed.

0 AMENDMENT D TERMINATION D NEW LICENSE D RENEWAL

[{] There were no administrative omissions identified during our initial review.

D This is to acknowledge receipt of your application for renewal of the material(s) license identified above. Your application is deemed timely filed, and accordingly, the license will not expire until final action has been taken by this office.

D Your application for a new NRC license did not include your taxpayer identification number. Please fill out NRC Form 531, located at the following link:

http://www. nrc.gov/reading-rm/doc-collections/forms/nrc531. pdf

Send the completed NRC Form 531, by facsimile, to the following number: (301) 415-5387

A copy of your action has been emailed to our License Fee and Accounts Receivable Branch, in our Headquarters office in Rockville, MD. You will be contacted separately ifthere is a fee issue involved.

Your application has been assigned the above listed MAIL CONTROL NUMBER. When calling to inquire about this action , please refer to this control number. Your application has been forwarded to a technical reviewer. Please note that the technical review, which is normally completed within 180 days for a renewal application (90 days for all other requests), may identify additional omissions or require additional information. If you have any questions concerning the processing of your application , our contact information is listed below:

NRC FORM 532 (1-2012)

Region IV U. S. Nuclear Regulatory Commission DNMS/NMSB - B 1600 E. Lamar Blvd. Arlington, TX 76011-4511 (817) 200-1103 or (817) 200-1140