2007-05-21_REVISION - M1980055HR

• Permit No: M1980055HR
• IBM Index Class Name: Revision
• Doc Date: 5/21/2007
• Doc Name: Conversion of the Topaz
• From: Denison Mines
• To: DRMS
• Type & Sequence: CN1
• Media Type: D
• Archive: No

15. Correspondence Information:
APPLICANT/OPERATOR: (name, address, and phone ofname to be used on permit)
Individual's Name: Harold R. Roberts Title: Executive V.P.
Company Name: Denison Mines (USA) Corp.
StreeUP.O. Box: 1050 17`s Street Suite 950 P.O.Box:
City: Denver
State: Colorado Zip Code: 80265
Area Code: ( 303 1 Telephone: [phone]
Fax Number: ( 303 1 Telephone: [phone]
PERMITTING CONTACT: (If different from applicant/operator above)
Individual's Name: Christy Woodwazd Title: Environm ental Coordinator
Company Name: Denison Mines (USA) Corp.
Street/P.O. Box: 1050 17'" Street. Suite 950 P.O.Box:
City: Denver
State: Colorado Zip Code: 80265_
Area Code: (303)_ ~ Telephone: [phone]
Fax Number: (303 ~ Telephone: [phone]
Individual's Name:
Company Name:
Street/P.O. Box:
City:
State:
Jim Fisher
Denison Mines (USA)
9244 W. Hwy 141_
Title:
P.O.Box: 160
Zip Code: 81325_
Area Code: ( 970 Telephone: [phone]
Fax Number: ( 970 1 Telephone: [phone]
CC: STATE OR FEDERAL LANDOWNER (If anvl
Agency Bureau of Land ManaeemenUSan Juan Public Lands Center

Street 15 Burnett Court

City: Durango

State: Colorado Zip Code: 81301
Area Code: ( 970 ) Telephone: [phone]
CC: STATE OR FEDERAL LANDOWNER (If anv)
Agency

Street
City:
State:
Zip Code:
Area Code:
Telephone:
3