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

-3-
it. CorresnandenceIntormation;
APPLICANTlOPERATOR (name, address, and ghone of name to be used on permit):
Contact's Name:
'title: ~kEf':tTfSV~- V~~ Ps~zD~ris~e'.>Co
Company Name: C:I~IERI'rV h IEI:~ KfbCtJIL(.J'-0 L~It~01<•'>l7[rI
Street: 44 ~ INSO1~1 ~yJl~ VARL~ . BUTTE '(-~D P.O. Box:
City: ~ ~ ,Xk~D
State: (' ,CX f?RALXy Zip Code:~~~}~
Telephone Number: ( ~ 1 - q ~y " cL+l
Fax Number: (,..~~~ ) - ~-1 (`f - .1,191
PERMITTING CONTACT (if different fmm applicanUoperator above)
Contact's Name: FRANK FII.~' Title:.~;yVxROrt(n~ni'fAi ItIAKAGEI?
Company Name: t_}NER(~Y h)Etpr~a ~~KEx~~-IZit.~_ l ~7LOOl~AI?ON
Street. 7 ~ _~Ll~`{ ~?t~V~~~_ _ P.O. Box:
City: 1 AKti~1>D O
State: ~OLORQCO //~~ Zip Code: ~t~`~vLQi
TeiephoneNumber: ( i Qi 1 - ~u -'~~~C7
Fax Number: ( ~~.~ ~ - Q7~-r~I~
Contact's Name:
Company Name:
Street:
Title:
P.O. Sox:
City: 1V l_y'LI>
State: ~12/>~-7O p Zip Code: ~1~
Telephone Number: ( q 10 1 - yr~ p~7~
Fax Number: ~ 1 -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: C~C~RFAU~t f'~nC- ~-AAl1J ~pJ'(1~'sE(1'IENT
Street: rI„~~J R P.04i>
City: ~SR4NU (SJNCr1~N
State: P.c~LORAIJO Zip Code: ~ ~ ~ ~
Telephone Number: f Q~~ 1 - _ f
CC: STATE OR FEDERAL LANDOWNER (if any}:
Agency:
Street:
City:
State: Zip Code:
'T'elephone Number: ~ 1 - __,