2015-09-10_REPORT - M2007044

• Permit No: M2007044
• IBM Index Class Name: REPORT
• Doc Date: 9/10/2015
• Doc Name: Annual Fee, Report‎(?)‎ and Map
• From: Energy Fuels Resources ‎(USA)‎ Inc.
• To: DRMS
• Email Name: SJM
• Media Type: D
• Archive: No

Page 5 of 5
Division records indicate the following permittee contact information. If this information is not current, please type or
print current contact information:
Permittee Contact:
Harold R. Roberts
Permittee Company:
Energy Fuels Resources (USA)
Inc.
Address:
225 Union Blvd., Suite 600
Lakewood, CO80228
Phone Number:
[phone]
Fax Number:
Email Address:
I, the undersigned, hereby s to that the information provided in this report is true and accurate, and that site operations are
being conducted ir4cordifice with the Division approved mining and reclamation plans.
Signature
Owner, or Documented Desisnee
Date
M -AF -K David C. Frydenlund - Senior Vice President, General Counsel/Corporate Secretary
For Harold R. Roberts - Executive Vice President - Conventional Operations