2007-05-21_REVISION - M1977416

• Permit No: M1977416
• 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

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AllMINISTRATIVE INFORMATION:
I . Permit Number:
2. Operation Name:
M-1977-416
Carnation Mine
3. Current Permitted Operator.
Contact Person:
Company Name:
Sheet:
City:
State:
Area Code:
Terry Wetz
International Uranium (USA) Corp.
105017th Street, Suite 950
Denver
Colorado 80265
Zip Code:
(303) Telephone: [phone]
4, Successor Operator:
Contact Person:
Company Name:
Street.
City:
State:
Area Code:
IRS Tax ID No. or Social Security No.
Christy Woodward
Denison Mines (USA) Corp.
95017th Street, Suite 950
Denver
Colorado 80265
'Lip Code:
(30-~_ Telephone: [phone]

5. Applieatton Fee: $100.00 for Hard Rock operations; $ 225.00 for Construction Materials operations
Make check payable [o the Division of Reclamation, Mining and Safety