2007-05-21_REVISION - M1980055HR ‎(5)‎

• Permit No: M1980055HR
• IBM Index Class Name: Revision
• Doc Date: 5/21/2007
• Doc Name: Transfer of Permit and Succession of Operators Application Form
• From: Denison Mines ‎(USA)‎ Corp.
• To: DRMS
• Type & Sequence: SO4
• Media Type: D
• Archive: No

_
II.
ADMINISTRATIVE INFORMATION:
1. Permit Number:
2. Operation Name:
3. Curren[ Permitted Ouerator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
4. Successor Operator:
Contact Person:
Company Name:
Street:
M-1980-055 HR
Topaz Mine
Terry Wetz
International Uranium (USA) Corp.
105017°i Street, Suite 950
Denver
Colorado zip Code: 80265
(303) Telephone: [phone]
Christy Woodward
Denison Mines (USA) Corp.
9501T'' Street, Suite 950
Denver
Ciry:
Slate:
Area Code:
IRS Tax ID No. or Social Security No.
Colorado 80265
Zip Code:
(303 Telephone: [phone]

5. Application Fee: 5100.00 for Hard Rock operations; $125.00 for Construction Materials operations
Luke check payable ro the Division of Reclamation, Mining and Safety