PERMFILE116756

• Permit No: M2007044
• IBM Index Class Name: Permit File
• Doc Date: 7/23/2007
• Doc Name: Application Form & Addendum
• From: Energy Fuels Resources Corporation
• To: DRMS
• Media Type: D
• Archive: No

_2.
4. Fees:
4, I
4.2
4.3
4.4
4.5
4.6
4.7
4.8
4.9
4.10
Yew I I2d(1) Applcation (affecting less than 50 acres and extracting less than I million tons per year) 53 500.00 application tee
Newt 12d(2) Application (larger than above but affecting less than 100 acres and extract Tess
than 5 million tons per year
New 112d(3) Application (any other operation)
Existing I l2d(i) Amendment Fee
Existing 112d(2) Amendment Fee
Existine 112d(3) Amendment Fee
New 1 IZd(Q Amendment Fee
New 112d(2) Ameadmertt Fee
New 112d{3) Amendment Fee
Conversion Pee
5. Primary commoditie(sl to be mined: ~ A!(7.(,
Sb.000.00 application fee
3 100.00 application fee
2 000.00 amendment fee
3 500.00 amendment fee
56.500.00 amendment fee
S2.500.00 amendment fee
4 000.00 amendment fee
57.000.00 amendment fee
see above application fees
b. Name of owner of surface ofs[fectedtaad: ~JtJ2~uC~T" LAMD MAAIAtlf1''IEA(Y
7. Name of owner of subsurface rights of affected land: Lti.tRF A U DF ~ll IYIANAGt(vtF.PiY
If 2 or more owners, refer to Exhibit O.
S. Type of minine operation:
_ Surface Underground
9. Location Information: the center of the area where the majority of mining will occur lies in:
COUNTY: ~E:,A
PRINCIPAL MERIDIAN (check one):
SECTION (write number):
_ 6th (Colorado) ~l0ih (New Mexico) _ Ute
S _~~
TOWNSHIP (write nturtber and check direction):
RANGE (write nupiber and check direction):
QUARTER SECTION (check one):
QUARTER/QUARTER SECTION (check one):
T ~ (y North _ Snuth
R ~ _ East West
_ NE _ NW ~//SE ~SW
_1`lE _NW ySE _SW
GENERAL DESCRIPTION {miles and direction from nearest town and approximate elevation);
_/'.i~Rt~ Xi.ll'L.A'TF(.v F~/_T. E(Y}S1E,S t~i.-x-)TFlt,~~ST OE CsATE1,JAT~ COlA12ADa AT AN
_A~, aoJ~r`'~'7F J=< EVAT~ t~G ~;6(~~EET.
10. Prlmarv iYiine Entrance Location (report in either Latitude/Longitude OR DT1I):
LaH[ude2ongitude:
Example: (N) 39° 44' 12.98"
(W~ 104° 59' 3.87"
Latitude (N): deg ~,~ min ~.$_ sec y~( .~_ (2 decimal places)
Longitude (W): deg,~~ min ,Q,~y._ see _~r' j_~. ~7H (2 decimal places)