2015-12-17_REPORT - P2010009

• Permit No: P2010009
• IBM Index Class Name: REPORT
• Doc Date: 12/17/2015
• From: Golden Eagle Uranium
• To: DRMS
• Annual Report Year: 2015
• Email Name: LJW
• Media Type: D
• Archive: No

Page 6 of 6
Division records indicate the following permittee/landowner contact information. If this information is not current, please
type or print current contact information: Rule 5.6.1(a, b).
Permittee Contact:
Preston L. Niesen
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Permittee Company:
Golden Eagle Uranium LLC
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Address:
13263 W. Utah Cir.
Lakewood, CO 80228
Phone Number:
[phone]
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Fax Number:
NNJE
Email Address:
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Landowner Contact:
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Landowner Address:
AjgVA RR o RE5GAR,CH
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Landowner Phone
Number:
(ci 1 o) 24S • 4 p5 �P
l
Landowner Email
Ed. Cotter Q 1 M . d o e
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I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in accordance with the Division approved NOI and reclamation plans. Rule 5.6.1(h).
Signature of Permittee, orporate Officer, Owner or
P -AF -01
ocumented Designee
12-- e-LoIc
Date