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HARD ROCK/METAL MINING <br />REGULAR OPERATION (112) <br />RECLAMATION PERMIT APPLICATION FORM ~:'"~ -.. ,. _, <br />CHECK ONE: fj/Y r ~ . ~ <br />New Application (Rule 1.4.5) Amendment Application (Rule L l0) Dnnaton o. ~ , . <br />iViinin anu .on, <br />X Conversion Application (Rule I.11) 9 Sa(ciy <br />Permit # M-1980-055-HR (provide for amendments and conversions of existing permits) <br />The application for a Regular Operation Reclamation Permit contains three major parts: (1) the application form; (2) Exhibits A-S, <br />Geotechnical Stability Exhibit and Addendum 1; and, (3) the application fee. When you submit your application, be sure to include one(1) <br />completed, signed and notazized gray original and one (I) copy of the completed application form, two (2) copies of Exhibits A-S, the <br />Geotechnical Stability Exhibit, and Addendum I, and a check for the application fee described under Section 4 below. Exhibits should <br />NOT be bound or in a 3-ring binder; maps should be folded to 8 %z' X 1 I" or 8'/i' X l4" size. To expedite processing, please provide the <br />information in the format and order described in this form <br />GENERAL OPERATION INFORMATION <br />Type of print clearly, in the spaces provided, all information described below. <br />1. Applicantloperator name: Denison Mines (USA) Coro. <br />1.1 Type of organization (corporation, partnership, etc.): Coporation <br />1.2 I.R.S. Tax I.D. No.: <br />2. Operation name (pit, mine or site name): <br />3. Permitted Acreage (new or existing site): <br />3. l Change in acreage (+ or -) <br />3.2 Total acreage in Permit Area <br />4. Fees: <br />4.1 New Application <br />4.2 New Quatry Application <br />43 Milling Application (Non-DMO) <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />9.9 permitted acres <br />20.1 acres <br />30.0 acres <br />1 875.00 application fee <br />2 325.00 quarry application <br />3 100.00 milling application <br />1 550.00 amendment fee <br />1500.00 conversion fee <br />5. Primary commoditie(s) to be mined: Uranium /Vanadium <br />6. Name of owner of surface of affected land: Bureau of Land Manaeement <br />7. Name of owner of subsurface rights of affected land: Denison Sunday Mines LLC <br />8. Type of mining operation: Surface X Underground In-situ <br />9. Location Information: the center of the area where the majority of mining will occur lies in: <br />COUNTY: San Miguel <br />PRINCIPAL MERIDIAN (check one): 6`a (Colorado) X l0"' (New Mexico} _ Ute <br />SECTION (write number): S 10 <br />TOWNSHIP (write number and check direction): T 44 X North South <br />RANGE (write number and check direction): R l8 East X West <br />QUARTER SECTION (check one): NE _ NW X SE SW <br />QUARTER/QUARTER SECTION (check one): NE NW X SE SW <br />GENERAL DESCRIPTION (miles and duection from nearest town and approximate elevation): 3 miles NE of <br />Slick Rock, Colorado. Elevation 5.800 feet <br />