sumitomo metal mining pogo, llc; amendment request to ... · heyrend rso cert.pdf; usnrc pogo form...

11
Hill, Carol From: Sent: To: Cc: Subject: Attachments: Carol, Arron Heyrend <[email protected]> Thursday, November 30, 2017 5:58 PM Hill, Carol Dykert, Jason [External_Sender] RSO change Heyrend RSO cert.pdf; USNRC Pogo form Arron Heyrend.pdf I will be assuming the role of RSO here at Pogo, due to Leif Christiansen no longer being employed here. Change request form, and my Certification in attached PDF's. Thank you Arron Heyrend PUBLIC C Immediate Release ~ OffltlJ Release NON-PUBLIC MEM / surface OPS General Foreman Sumitomo Metal MininQ PoQo llt Direct 907-895-2895 Cell 907-378-7495 C A.S Sensitive-Security ReJal8d C A.7 Sensitive lntemaJ E-mail [email protected] C Olher "::;'7;;:;- _ ..,,,_ ___ _ Revfewr ~ Date: (br&ft- 1 6 0 1 8 1 5

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Page 1: Sumitomo Metal Mining Pogo, LLC; Amendment Request to ... · Heyrend RSO cert.pdf; USNRC Pogo form Arron Heyrend.pdf I will be assuming the role of RSO here at Pogo, due to Leif

Hill, Carol

From: Sent: To: Cc: Subject: Attachments:

Carol,

Arron Heyrend <[email protected]> Thursday, November 30, 2017 5:58 PM Hill, Carol Dykert, Jason [External_Sender] RSO change Heyrend RSO cert.pdf; USNRC Pogo form Arron Heyrend.pdf

I will be assuming the role of RSO here at Pogo, due to Leif Christiansen no longer being employed here. Change request form, and my Certification in attached PDF's. Thank you

Arron Heyrend PUBLIC C Immediate Release

~ OffltlJ Release

NON-PUBLIC

MEM / surface OPS General Foreman Sumitomo Metal MininQ PoQo llt Direct 907-895-2895 Cell 907-378-7495

C A.S Sensitive-Security ReJal8d C A.7 Sensitive lntemaJ

E-mail [email protected] C Olher"::;'7;;:;-_ ..,,,_ ___ _

Revfewr~ Date: (br&ft-

1

6 0 1 8 1 5

Page 2: Sumitomo Metal Mining Pogo, LLC; Amendment Request to ... · Heyrend RSO cert.pdf; USNRC Pogo form Arron Heyrend.pdf I will be assuming the role of RSO here at Pogo, due to Leif

-------------------------------------------------------.. NRC FORM 313 (06-2018)

U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY 0MB: NO. 3160-0120 EXPIRES: 06/3012019

10 CFR 30, 32, 33, 34 3!1, 38, 37, 39, and 410

,>P'~I"""<,

!W,_\ APPLICATION FOR MATERIALS \'WfH j LICENSE .......

Estimated burden per response to comply with this mandatory collection raqu9$t: 4.3 hours. Submittal of ttie application Is necessary to determine that tile applicant Is qualified and that adequate proceduras exfSI to prated Iha public heallh and safety. Send comments regardin9 bunten estima1e to the FOIA, Prlvacy, and Information COll8cflons Branch (T-o F53), U.S. Nuc!aar Regula\,ry Comml6s\on, Washlngtoo, DC 20555-0001, or by e-mail to lnfocolects.ResoUll:[email protected], and to the Desk Offioor, Offlce of lnfonnation end Reguleto,y Affairs, NEOB-1D202, (3150-0120), Office of Managemsnt and Budget, Washinll1Dn. DC 20503. If a means used II> Impose 811 lnlermallon coEac\lon does not dlsl)lay a MenUy valid 0MB control number, Ille NRC may not concWct or sponsor, and a person 1$ not tequired to ruspond lo, !he lnforpiatlOn collection •

INSTRUCTIONS: SEE THE CURRENT VOLUMES OF THE NUREG-1568 T!CHNICAL REPORT.SERIES ("CONSOLIDATED GUIDANCE ABOUT MATERIALS LICENSES") FOR DETAILED INSTRUCTIONS FOR COMPLETING THIS FORM: http;l/wy,wnn; goylreadlng-rm{doc-con,ctlons/nuragslstaff/ar16561 SEND TWO COPIES OF THE COMPLETED APPl.lCATJON TO THE NRC OFFICE SPECIFIED BELOW.

APPUCA llON FOR DISTRIBUTION OF EXEMPT PRODUCTS FILE APPLICATIONS WITH:

MATERIALS SAFETY LICENSING BRANCH DIVISION OF MATERIAL SAFETY, STATE, TRIBAL AND RULEMAKING PROGRAMS OFFICE OF NUCLEAR MATERIALS SAFETY AND SAFEGUARDS U.S. NUCLEAR REGUL'ITORY COMMISSION WASHINGTON, DC 20555-0001

AU. OTHER PERSONS FILE APPLICATIONS AS FOLLOWS:

IF YOU ARE LOCA~ IN:

ALABAMA, CONNECTICUT, DELAWARE, DISTRICT OF COLUMSIA, FLORIDA, GEORGIA, KENTUCKY, MAINE, MARYLAND, MASSACHUSETTS, NEW HAMPSHIRE, NEW JERSEY, NEW YORK, NORTH CAROLINA, PENNSYLVANIA. PUERTO RICO, RHODE ISLAND, SOUTH CAROLINA, TENNiSSEE, VERMONT, VIRGINIA, VIRGIN ISLANDS, OR WEST VIRGINIA,

SEND APPLICATIONS TO:

LICENSING ASSISTANCE TEAM DIVISION OF NUCLEAR MATERIALS SAFETY U.S. NUCLEAR REGUL'ITORY COMMISSION. REGION I 21DO RENAISSANCE BOULEVARD, SUITE 100 KING OF PRUSSIA, PA 18-408..2713

IF YOU ARE LOCATED IN:

ILLINOIS. INDIANA, IOWA, MICHIGAN, MINNESOTA, MISSOURI, OHIO, OR WISCONSIN, SEND APPLICATIONS TO:

MATERIALS LICENSING BRANCH U.S. NUCLEAR REGULATORY COMMISSION, REGION Ill 2443 WARRENVILLE ROAD, SUITE 210 LISLE. IL 60ll32-4352

ALASKA, ARIZONA, ARKANSAS, CALIFORNIA., COLORADO, HAWAD, IDAHO, KANSAS, LOUISIANA, MISSISSIPPI, MONTANA, NEBRASKA, NEVADA, NEW MEXICO, NORTH DAKOTA, OKLAHOMA, OREGON, PACIFIC TRUST TERRITORIES, SOUTH DAKOTA, TEXAS, UTAH, WASHINGTON, OR WYOMING,

SEND APPLICATIONS TO:

NUCLEAR MATERIALS LICENSING BRANCH U.S. NUCU:AR REGULATORY COMMISSION, REGION IV 1600 E. LAMAR BOULEVARD ARLINGTON, TX 76011-4511

PERSONS LOCATED IN AGREEMENT STATES S!ND APPLICATIONS TO THE U.S. NUCLeAR REGULATORY COMMISSION ONL.Y IF THEY WISH TO POSSESS AND use LIC~SED MATERIAL IN STA TES SUBJECT TO U.S.NUCLEAR REGULATORY COMMISSION JURISDICTIONS.

1, "THIS IS AN APPLICATION FOR (Check spp,op,tQle item}

D A. NEWLICENSE

0 B. AMENDMENT TO LICENSE NUMBER

D C. RENEWAL OF LICENSE NUMBER

50-29212-01

3. ADDRESS WHERE LICENSED MATERIAL WILL BE USED OR POSSESSED

50 Mile Pogo Road, Pogo Mine

2. NAME AND MAILING ADDRESS OF APPLICANT (lnclutie ZIP eode)

Vance Schaeffer PO Box 145 Delta Junction AK 99737

4. NAME OF PERSON TO BE CONTACTED ABOUT THIS APPLICATION

Arron Heyrend

BUSINESS TELEPHONE NUMl'IER

895-2821 BUSINESS EMAIL ADDRESS

[email protected]

I BUSINESS CELLULAR TELEPHONE NUMBER

378-7495

SUBMIT ITEMS 5 THROUGH 11 ON 8-1/2 X 11" PAPER. THE TYPE ANO SCOPE OF INFORMATION TO BE PROVIDED IS DESCRIBED IN THE LICENSE APPLICATION GUIDE.

6. RADIOACTIVE MATERIAL

a. EJemenl and mass nLrnber, b. Chemical and.la, physical form; and c. maxmum amounl which will be poaaassad at any one dma.

I!, TRAINING FOR INDIVIDUALS WORKING IN OR FREQUENTING RESTRICTED AREAS.

10. RADIATION SAFETY PROGRAM •.

6. PURPOSE(S) FOR WHICH LICENSED MATERIAL IMLL BE USEC.

7. INOIVIDUAL(S) RESPONSIBLE FOR RADIATION SAFETY PROGRAM AND THEIR TRAINING ANO EXPERIENCE.

9, FACILITIES AND EQUIPMENT.

11. WASlE MANAGEMENT.

(Sort 10 CFR 170 and Section 170.31) 12. LICENSE FEES (Fees""ll'ffdonlyfornewappllc1tlorul,wllhfawaxceptions·) FEE D AMOUNT $ D

'Amandmentll/Renawal& that lncreue the 1cape ot Iha exlsUng DcenH tD I new or higher f•• cat•IID'Y ...en require I r,e. CATEGORY ENCLOSED

13. CERTIFICATION. (Mllftbe comp/Ill«/ byepplicanO THE APPLICANT UNDERSTANDS THAT ALL STATEMENTS AND REPRESENTATIONS MADE IN THIS APPLJCATION ARE BINDING UPON THE APPLICANT.

THE APPLICANT ANO At-N OFFICIAL EXECUTING THIS CERTIFICATION ON BEHALF OF THE APPLICANT, NAMED IN !TELi 2, CERTIFY THAT THIS APPLICATION IS PREPARED IN CONFORMITY IMTH TITLE 10, CODE OF FEDERAL REGULATIONS, PARTS 30, 32, 33, 34, 35, 38, 37, 39, ANO 40, AND THAT ALL INFORMATION CONTANEO HEREIN IS TRUE AND CORRECT TO THE BEST OF THEIR KNOVVLEDGE ANO BELIEF. WARNING: 1 B U.S.C. SECTION 1001 ACT OF JUNE 25, 1948 62 STAT. 7419 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 MA.TIER WITHIN rrs JURISDICTION.

CERTIFYING OFFICER - TYPED/PRINTED NAME AND TITLE

Chris Kennedy, General Manager SMM Pogo mine

NRC FORM 313 (OB-201e)

DATE

J/-o:Jf .. Jo/J

1h 6 0 1 8 1 5

Page 3: Sumitomo Metal Mining Pogo, LLC; Amendment Request to ... · Heyrend RSO cert.pdf; USNRC Pogo form Arron Heyrend.pdf I will be assuming the role of RSO here at Pogo, due to Leif

' I

NRC FORM313 (06-2016)

U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY 0MB: NO. 3150-0120 EXPIRES: 06/3012019

10 CFR 30, 32, 33. 34 35, 38, 37, 39, and 40

,.,JP" ...... >

l~\ APPLICATION FOR MATERIALS \-.rj LICENSE

' ......

Estimated burden per response lo co~y with !his mandatory colleclfon ,equest 4.3 hOurs. Submittal of the application ii necessary b:I d818rmlne !hat !he applican\ is qualified and 1llat adequafe prccedwes eJdst lo prolec! lhe public health and safety. Send amvnents ivgardlng burden esUmale ID the FOIA, Privacy, Md Information Colleciions Branch (T-5 F53), U.S. Nuclear Regulalory Commission, Washingtan, DC 20555-0001, or by e-maU Io [email protected], and ta the Desk Officer, OlflC8 of Information and Regulatory Affairs, NEOEH0202, (3150-0120), Olf!Gfl of Management and Budget Washington, DC 20503. If a mellllS used ti Impose an Information ool/ecilon does nol display a cumenUy vale! 0MB oonlnll 11U1111le\', 11\e KRC rra, not conduct or sponsor, and a person Is not required to respon4 10, the lnlormaUOn eolleclkm.

INSTRUCTIONS: SEE THE CURRENT VOLUMES OF THE NUREG-11166 TECHNJCAL REPORT SERIES ("CONSOLIDA Tl!D GUIDANCE ABOUT MATERIALS LICENSES") FOR DETAILED INSTRUCTIONS FOR COMPLETING THIS FORM: http•/Jwww prc,goylraadlnq-rm/dgc;;oUectlpnR{nUr:,asfitaffJsr1SS6/. SEND TWO COPIES OF THE COMPLETED APPLICATION TO THE NRC OFFICE SPECIFIED BELOW.

APPLICATION l'OR DISTRIBUTION OF EXEMPT PRODUCTS FILE APPLICATIONS WITH:

MATERIALS SAFETY UCE.NSINO BRANCH DIVISION OF MATERIAL SAFETY, STATE, TRIBAL ANO RULEMAKING PROGRAMS OFACE OF MJCLEAR MATERIALS SAFETY ANO SAFEGUARDS U.S. NUCLEAR REGULATORY COMMISSION WASHINGTON. DC 20555·0001

ALL OTIIER PERSONS FILE APPLICATIONS AS FOLLOWS:

IF YOU ARE LOCATED IN:

ALABAMA, CONNECTICUT, DELAWARE, DISTRICT OF COLUMBIA, FLORIDA, GEORGIA, KENTUCKY, MAINE, MARYLAND, MASSACHUSETTS, NEW HAMPSHIRE. NEW JERSEY, NEW YORK, NORTH CAROLINA, PENNSYLVANIA, PUERTO RICO, RHODE ISLAND, SOUTH CAROLINA, TENNESSEE, VERMONT, VIRGINIA, VIRGIN ISLANDS, OR WEST VIRGINIA,

SEND APPLICATIONS TO:

LICENSING ASSISTANCE TEAM DIVISION OF NUCLEAR MATERIALS SAFETY U.S. NuctEAR REGULATORY COMMISSION, REGION I 2100 RENAISSANCE BOULEVARD. SUITE 100 KING OF PRUSSIA, PA 194116-2713

IF YOU ARE LOCATED IN:

ILUNOIS, INDIAHA, IOWA, MICHIGAN, PIINNESOTA, MISSOURI, OHIO, OR WISCONSIN, SEND APPLICA TIDNS TO:

MATERIALS LICENSING BRANCH U.S. NUCLEAR REGULATORY COMMISSION. REGION nl 2443 WARRENVILLE ROAD, SUITE 210 LISLE, IL 60532-43152

ALASKA, ARIZONA, ARKANSAS, CALIFORNIA, COLORADO, HAWAII, IDAHO, KANSAS, LOUISIANA, MISSISSIPP~ MONTANA, NEBRASKA, NEVADA, NEW MliXICO, NORTH DAKOTA, OKLAHOMA, OREGON, PACIFIC TRUST TeRRITORIES, SO\fTH DAKOTA, TEXAS, UTAH, WASHINGTON, OR WYOMING,

IIEND APPUCA TIONS TO:

NUCLEAR MATERIALS LICENSING BRANCH U.S. NUCLEAR REGULATORY COMMISSION, REGION IV 1600 E. LAMAR BOULEVARD ARLINGTON, TX 76011-4511

PERSONS LOCATED IN AGREEMENT STATl!S SEND APPLICATIONS TO THE U.S. NUCLEAR REGULATORY COMMISSION ONLY IF THEY WISH TO POSSESS AND USE LICENSED MATERIAL IN STATES SUBJECT TO U.S.NUCLEAR REGULATORY CONNISSION JURISDICTIONS.

1. THIS IS AN APPLICATION FOR (Check appropriate~/

D A. NEW LICENSE

[ZI B. MIENDMENT TO LICENSE NUMBER

D C. RENEWAL OF LICENSE NUMBER

50-29212-01

3. AOORESS ~ERE LICENSED MATERIAL WILL BE USED OR POSSESSED

50 Mile Pogo Road, Pogo Mine

2. NAME ANO MAILING ADDRESS OF APPLICANT (lnelude ZIP coda)

Brandon McMillan PO Box 145 Delta Junction AK 9973 7

4. NAME OF PERSON TO BE CONTACTED ABOUT THIS APPLICATION

Arron Heyrend

BUSINESS TELEPHONE NUMBER

895-2821 BUSINESS CELLULAR TELEPHONE NUMBER

378-7495 BUSINESS EMAIL ADDRESS

[email protected]

SUBMIT ITEMS 5 THROUGH 11 ON 8-112 X 11" PAPER. THE TYPE AND SCOPE OF INFORMATION TO BE PROVIDED IS DESCRIBED IN THE LICENSE APPLICATION GUIDE.

5. RADIOACTIVE MATERIAL

a. Elemenl and masa number. b. chemical 8lld/or physical form; and c. maximum amoll'll which wll be poaseued at any one time,

8. TRAINlNO FOR INDIVIDUALS YIIORKING IN OR FREQUENTING RESTRICTED AREAS.

10. RADIATION SAFETY PROGRAM.

. 6. PURPOSE(S) FOR WilCH LICENSED MATERIAL WILL BE USED.

7. INDIVIDUAL(S) RESPONSIBLE FOR RADIATION SAFETY PROGRAM AND THEIR TRAINING AND EXPERIENCE.

9. FACILITIES AND EQUIPMENT.

11. WASTE MANAGEMENT.

{Sn 111 CFR 170 end S6C6cm 170.31) 12. LICENSE FEES (Fees r•qLired only klr ,-appllcations. with few exceptions') FEE D AMOUNT $. D

'ArMndments/Renewals that lncn,uetn•acope of the exllttlng llctl'lse to I new or hlghorfea category will require• fee, CATEGORY ENCLOSED

13. CERTIFICATION. (Must be comp/e/Blf by app/lcanl} THE APPLJCANT UNDERSTANDS THAT ALL STATEMENTS AND REPRESENTATIONS MADE IN THIS APPLICATION ARE BINDING UPON 1HE APPLICANT.

THE APPLICANT AND ANY OFFICIAL EXECUTING THIS CERTIFICATION ON BEHALF OF THE APPLICANT, NAMEO IN ITEM 2, CERTIFY THAT THIS APPLICATION IS PREPARED IN CONFORMITY 1MTH TITLE 10, CODE OF FEDERAL REGULATIONS, PARTS 30, 32, 33, 34, 35,311, 37, 39, AND 40, AND THAT ALL INFORMATION CONiANED HEREIN IS TRUE AND CORRECT TO THE BEST OF THEIR KNOv.tEDGE AND BELIEF. WARNING: 18 U.S.C. SECTION 1001 ACT Of JUNE 25, 1948 62 STAT. 741lMAKES IT A CRIMINAL OFFENSE TO MAKE A Wll.lFUU.Y FALSE STATEMENT OR REPRESENTATION TO AJolY DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MATIER WITHIN ITS JURISDICTION.

CERTIFYING OFFICER - TYPED/PRINTED NAME ANO TITLE

Chris Kennedy, General Manager SMM Pogo mine

NRC FORM 313 (06-2D16)

DATE

11~J9~ol7

6 0 1 8 1 5

Page 4: Sumitomo Metal Mining Pogo, LLC; Amendment Request to ... · Heyrend RSO cert.pdf; USNRC Pogo form Arron Heyrend.pdf I will be assuming the role of RSO here at Pogo, due to Leif

NRC FORM 313 (08-20115)

U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY 0MB: NO. 3160-0120 EXPIRES: 06130/2019

10 CfR 30, 32, 33, 34 35. 36, 37, 38. and 40 .,,,. .... ~ l~.\ APPLICATION FOR MATERIALS \'Wf!J'j LICENSE ........

Estimated burden per response ID comply wilh this mandalory collection request 4.3 hours. Submi1lal or the epplicelion Is necessary to determine Iha! the sppllcsnl Is qualified Md lhat edeQOale procedures exist kl protac\ lhe public heallh and safetY. Send comments ragardfng burden estimate 10 the FOIA, Privacy, and lnformaHon ColBctlons Sranch (T-5 F53), U.S. Nuclear RegulslOry Commission, Washington, DC 20555-0001, or by e-mall to [email protected], and IO the Desk Officer, Olf'IC8 of Information 111d Regulatory Allan, NEOB-10202, (315().()\20). Office of Manaoement and Budget, Washington. DC 20503.1! a means used ID Impose an Information coUecUon does not d',splay a currently vaRd 0MB conlrol number, the NRC may not conduci or sponsor, and a peraon is nol requred IO respcnd to, the information colilM:tlon •

INSTRUCTIONS: SEE THE CURRENT VOLUMES OF THE NUREG-1556 TECHNICAL REPORT SERIES ("CONSOLIDATED GUIDANCE ABOUT MATERIALS LICENSES"} FOR DETAILED INSTRUCTIONS FOR COMPLETING THIS FORM: http;{/\,W/W,nn;,9oy/roadlng-DT)ldoc-cg)lgcHonalnuC99s/sWJ/sd5561 SEND :TWO COPIES OF THE COMPLETED APPLICATION TO THE NRC OFFICE SPECIFIED BELOW.

APPLICATION FOR DISTRIBUTION OF EXEMPT PRODUCTS FILE APPLICATIONS WITH:

MATERIALS SAFETY LICENSING BRANCH DIVISION OF MATERIAL SAFETY, STATE, TRIBAL AND.RULEMAKlNG PROGRAMS OFFICE OF NUCLEAR MATERIALS SAFETY AND SAFEGUARDS U.S. NUCLE'AR REGULATORY COMMISSION WASHINGTON. DC 2055S-0001

ALL OTHER PERSONS FILE APPLICATIONS AS FOLLOWS:

IF YOU ARE LOCATED IN:

ALABAMA, CONNECTICUT, DELAWARE, DISTRICT OF COLUMBIA, FLORIDA, GEORGIA, KENnlCKY, MAINE, MARYLAND, MASSACHUSETTS, NEW HAMPSHIRE, NEW JERSEY, NEW YORK, NORTH CAROLINA, PENNSYLVANIA, PUERTO RICO, RHODE ISLAND, SOUTH CAROLINA, TENNESSEE, VERMONT, VIRGINIA. VIRGIN ISLANDS, OR WEST VIRGINIA,

SEND APPLICATIONS TO:

LICENSING ASSISTANCE TEAM DIVISION OF NUCLEAR MATERIALS SAFETY U.S. NUCLEAR REGULATORY COMMISSION, REGION I 2100 RENAISSANCE 80\JLEVARO, SUITE 100 KING OF PRUSSIA, PA 19406-2713

IF YOU ARE LOCATED IN:

ILLINOIS, INDIANA, IOWA. MICHIGAN, MINNESOTA, MISSOURI, OHIO, OR WISCONSIN, SEND APPLICATIONS TO:

MATERIALS LICENSING BRANCH U.S. NUCLEAR REGULATORY COMMISSION, REGION Ill 2443 WARRENVILLE ROAD, SlATE 210 LISLE; IL 60532-4352

ALASKA, ARIZONA, ARKANSAS, CAUl'ORNIA, COLORADO, HAWAII, IDAHO, KANSAS, LOUISIANA, MISSISSIPPI, MONTANA, NEBRASKA, NEVADA, NEW MEXICO, NORTH DAKOTA, OKLAHOMA, OREGON, PACIFIC TRUST TERRITORIES, SOUTH DAKOTA, TEXAS, UTAH, WASHINGTON, OR WYOM[NG,

SEND APPLICATIONS TO:

NUCLEAR MATERIALS LICENSING BRANCH U.S. NUCLEAR REGULATORY COMMlSSION. REGION IV 1600 E. LAMAR BOULEVARD ARLINGTON, TX 76011--4511

PERSONS LOCATED IN AGREEMENT 8l'A1ES SEND APPLICATIONS TO THE U.S. NUCLEAR REGULATORY COMMISSION ONLY IF ,THEY WISH TO POSSESS AND USE LICENSED MATERIAL IN STA TES SUBJECT TO U.S.NUCLEAR REGULA TORY COMMISSION JURISDICTIONS.

1. THIS IS AN APPLICATION FOR (Checlt approprtal9119m}

D A. NEW LICENSE

0 B. AMENDMENT TO LICENSE NUMBER

D C. RENEWAL OF LICENSE NUMBER

50-29212-01

3. AOORESS 'MlERE LICENSED MATERIAL WILL BE USED OR POSSESSED

50 Mile Pogo Road, Pogo Mine

2. NAME AND MAILING ADDRESS OF APPUCANT (Inc/Ude ZJP code)

An-on Heyrend PO Box 145 Delta Junction AK 99737

4. NAME OF PERSON TO BE CONTACTED ABOUT THIS APPLICATION

Arron Heyrend

BUSINESS TELEPHONE NUMBER

895-2895

BUSINESS EMAIL ADDRESS

[email protected]

I BUSINESS CELLULAR TELEPHONE NUMBER

387-7495

SUBMIT ITEMS 5 THROUGH 11 ON 11-112 X 11" PAPER. THE TYPE ANO SCOPE OF INFORMATION TO BE PROVIDED IS DESCRIBED IN THE LICENSE APPLICATION GUIDE.

5. RADIOACTIVE MATERIAL

a. Etament and mu1 runbar, b. chemical and/or phylical ronn: and c. maXl!lum amount wh!Gh wtn be posseased at rr, one time.

B. TRAINING FOR INDMOUALS WORKING IN OR FREQUENTING RESTRICTED AREAS.

10. RADIATION SAFETY PROGRAM.

6. PVRPOSE(S) FOR w-llCH LICENSED MATERIAL 'MLL BE USEO,

7. INDMDUAL(S) RESPONSIBLE FOR RADIATION SAFETY PROGRAM AND THEIR TRAINING AND EXPERIENCE.

9. FACfLITIES AND EQUlPMENT.

11. WASTE MANAGEMENT.

(See 10 Cffl 170 and Section 170.31) $ 12. LICENSE FEES (Feaa r~ired only for 119W appllcallons, Wittl law excapaons") FEE D AMOUNT · D

"Amlndments/Renawats that lncreaH tllt 1cope of the tld1li119 lietnst to • new or hlgherfH catego,y Y/!R require a rae, CATEGORY ENCLOSEO

13. CERTIRCA TION. (Must be comp/etad by appltcanQ THE APPLJCAl'ff UNDERSTANDS THAT ALL STATEMENTS AND RE:PRE!S&ITA TIONS MADE IN THIS APPUCA TION ARE BINDING UPON THE APPI.ICANT.

THE APPLICANT ANO ANY OFFICIAL EXECUTING THIS CERTIFICATION ON BEHALF OF THE APPUCANT, NAMED IN ITEM 2, CERTIFY THAT THIS APPLICATION IS PREPARED IN CONFORMITY WITH TITLE 10, CODE OHEOERAL REGULATIONS, PARTS 30, 32, 33, 34. 35. 38, 37, 39, ANO 40. AND THAT ALL!NFORMATIONCONTANED HEREIN IS TRUE ANO CORRtaCT TO THE BEST OF THEIR KNOWI.EOGE AND BELIEF. WARNING: 18 U.S.C. SECTION 1001 ACT OF JUNE 25, 194S 62.STAT. 749 MAKES IT A CRIMINAL OFFENSE TO MAKE A WILLFULLY FALSE STATEMENT OR REPRESENTATION TO /WY DEPARTMENT OR AGENCY OF THE UNITED STATES AS TO ANY MATIER WITHIN ITS JURISDICTION.

CE~FYING OFFICER-TYPED/PRINTED NAME ANO TITLE SIGNA;Rl -

Chris Kennedy, General Manager SMM Pogo mine ~

DATE

NRC FORM 313 (06-2016)

6 0 1 8 1 5

Page 5: Sumitomo Metal Mining Pogo, LLC; Amendment Request to ... · Heyrend RSO cert.pdf; USNRC Pogo form Arron Heyrend.pdf I will be assuming the role of RSO here at Pogo, due to Leif

-·- -···-- ·--·-·-- . ---· .... __ ... --~- --·-- --· ··- ·-·· .... ·-· ---·-··-· ··· -·----·-·J _____ .... ·······- ·-·· ·- --- --

I -----------··--·-···-·-·-·-·--····-··· -··--·- - ··-· ----------· . -

i i i I ! r$RT1FICAJ'p.

V . . OF ~·

COMPLETION PRESENTED BY

~.A_L-TE~ A.SSC>CI_A_ TES., L-L .. C. TO

BRANDON MCMILLAN FOR HA YING SUCCESSFULLY COMPLETED THE RADIATION SAFETY AND

NUCLEAR INDUSTRIAL GAUGE USER TRAThllNG IN ACCORDANCE WITH THE REQUIREMENTS OF 10 CFR 20 and/or NUREG 1556 VOL 4

PRESENTED TIITS

MARCH· 29, 2016

~~ Signature ofTraine~~~ ;;, /TRAVIS BENNEIT Location: IDAHO FALLS, ID

L--, .. --·------ ·---·----- - - - ---··--- · - · ·--··--.

Page 6: Sumitomo Metal Mining Pogo, LLC; Amendment Request to ... · Heyrend RSO cert.pdf; USNRC Pogo form Arron Heyrend.pdf I will be assuming the role of RSO here at Pogo, due to Leif

O')

0 --01

1~~il~~l1ttf~t~~]!t~~ii~~Zf~ti\~F1~~:~;'s~~f;:~~~ Arron Heyrend

!Has successfal[y compfetea tlie 40 ftour teclinica{ snort course entitfd

Radiation Safety Officer

Afa:g 23 - Mag 27, 2011

'lliis certificate presentetf in Las 'Vegas, 9l'II, May 27, 2011

'.Bg !J{f,vaaa 'Teclinica{Jllssocia.tes, Inc.

Approval codes for c.E. units are: ASRT 30.5 units: NVZ0146001, AAHP 32 units: 2008-00-005, ABm 4.5 units: 08-1362

~ 7~~-'Ietf .91.Uen Instructor

\

Cerlificate Number: 1306479602

Page 7: Sumitomo Metal Mining Pogo, LLC; Amendment Request to ... · Heyrend RSO cert.pdf; USNRC Pogo form Arron Heyrend.pdf I will be assuming the role of RSO here at Pogo, due to Leif

Hill, Carol

From: Sent:

Arron Heyrend <[email protected]> Wednesday, November 29, 2017 7:04 PM

To: Hill, Carol; Dykert, Jason Subject: [External_Sender] Attachments: Heyrend RSO cert.pdf; USNRC Pogo form Arron Heyrend.pdf

License amendment, and certification for Arron Heyrend.

Arron Heyrend MEM / Surlace OPS General Foreman Sumitomo Metal Mlmne Poeo nc Direct 907-895-2895 Cell 907-378-7495 E-mail [email protected]

1

Page 8: Sumitomo Metal Mining Pogo, LLC; Amendment Request to ... · Heyrend RSO cert.pdf; USNRC Pogo form Arron Heyrend.pdf I will be assuming the role of RSO here at Pogo, due to Leif

Hill, Carol

From: Sent:

Arron Heyrend <[email protected]> Wednesday, November 29, 2017 7:10 PM

To: Hill, Carol; Dykert, Jason Subject: [External_Sender] Attachments: McMillan RSO cert.pdf; USNRC Pogo form Brandon McMillan.pdf

License amendment, and certification for Brandon McMillan

Arron neyrena KEM I Surface OPS General Foreman Sumitomo Metal Mining Poao llt Direct 907-895-2895 Cell 907-378-7495 E-mail [email protected]

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Hill, Carol

From: Hill, Carol Sent: To:

Thursday, November 30, 2017 11:07 AM Arron Heyrend

Subject: RE: [External_Sender]

Hi, I didn't get any attachments with this message.

Carol L. Hill, Licensing Assistant

Direct: 817-200-1140 Toll Free: 1-800-952-9677 Fax: 817-200-1083 E-mail: [email protected]

US Nuclear Regulatory Commission 1600 E. Lamar Blvd. Arlington, ·rx 76011-4511

From: Arron Heyrend [mailto:[email protected]] Sent: Wednesday, November 29, 2017 7:14 PM To: Hill, Carol <[email protected]>; Dykert, Jason <[email protected]> Subject: [External_Sender]

Amended license and Certification Vance Schaeffer.

Arron Beyrend MUI / surlace OPS General Foreman sumuomo Metal Minlnd Poeo LLC Direct 907-895-2895 Cell 907-378-7495 E-mail [email protected]

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NRC FORM 532 U.S. NUCLEAR REGULATORY COMMISSION (05-2016) ~.,,,. ........ \ ,w· • a ACKNOWLEDGEMENT - RECEIPT OF CORRESPONDENCE ; ~'fl)

""'· ..... Name and Address of Applicant and/or Licensee Date

I 12/04/2017 I License Number(s~

Arron Heyrend, Radiation Safety Officer I I . . 50-29212-01 Sumitomo Metal Mining Pogo LLC

Mail Control Number(s) 3204 International Street I Fairbanks, Alaska 99701 601815 I Licensing and/or Technical Reviewer or Branch

ICHill I This is to acknowledge receipt of your: D Letter and/or 0 Application Dated: 11/29/2017

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

[Z] Amendment D Termination D New License D Renewal

D There were no administrative omissions identified during our Initial review.

D This is to acknowledge receipt of your application for renewal of the materlal(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 complete and submit NRC Form 531, Request for Taxpayer Identification Number, located at the following link: http://www.nrc,gov/reading-rm/doc-collections/forms/nrc531.pdf

Follow the instructions on the form for submission.

D The following administrative omissions have been Identified:

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:

Region IV U. S. Nuclear Regulatory Commission DNMS/NMSB - B 1600 E. Lamar Boulevard

I Arlington, TX 76011-4611

I (817) 200-1209 or (817) 200-1140

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BETWEEN:

Accounts Receivable/Payable and

Regional Licensing Branches

[ FOR ARPS USE ] INFORMATION FROM WBL ·- - - - - ---·- ...... . .. - --- ··--·

Program Code: 03120 Status Code: Pending Amendment Fee Category:3P ExP. Date: 01/31/2026 Fee Comments: Decom Fin Assur Reqd: N

License Fee Worksheet - License Fee Transmittal A. REGION

1. APPLICATION ATTACHED Applicant/Licensee: Sumitomo Metal Mining Pogo LLC

Received Date: 11/30/2017 Docket Number: 3037023 Mail Control Number: 601815 License Number: 50-29212-01

Action Type: Amendment

2. FEE ATTACHED ' .I

Amount: I

CheckNo. ~ 3. COMMENTS /

Signed:

Date:

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

1. Fee Category and Amount: -----------------2. Correct Fee Paid. Application may be processed for:

Amendment:

Renewal:

License:

Signed:

Date:

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