REP32987

• Permit No: M1997032
• IBM Index Class Name: Report
• Doc Date: 5/7/1997
• Doc Name: LIMITED IMPACT OPERATION 110 2 RECLAMATION PERMIT APPLICATION FORM
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

J • •
'2
10. Correspoadeace Tnfozmation:
• APPLICANT!OPERATOR (name, address, and phone of name to be used on permit)
COntaCt'6 Name: Donald L. Peterson Title: President
Company Name: Dnerav Fuels Nuclear, Inc.
Street: 1515 Arapahoe Street, Three Park Central. Suite 900
City: Denver
State: Colorado Zip Cade: 80202
Telephone Number: X03 ) .623-8317
Fax Number: (303 ) 595-0930
PERMIT^I*7G CONT?.C^ (if different from anplicanc/operator aoove)
Individual's Name: Michelle R. Rebmann Tic'_e:MOr. Environ. Affr;
Company Name
Street:
City:
State:
Energy Fuels ^IUC1ear, Inc.

1515 Arapahoe Street. Suite 900
Telephone Number:
Fax Number:
INSPECTION CONTACT
Colorado Zip Code: 80202
(303 i - 623-8317
t 303 ) - 595-0930
• Individual's Name: James A. Fisher
Company Name: Enera v Fuels Nuclear, Inc.
Street: o- n- Pex 59
City: Dove Creek
State: Color ado Zip Code: 91324
Telephcne Number: f97n ) - a77-~7?6
Fax Number: (970 ~ - 677-2i47
CC: STAT_' OR FEDERAL LANDOWNER of anvl
Agent;: U. S. Bureau of Land Management
Street: 2465 S. Townsend Ave.
C'_ty: Montrose
State: Colorado Z.p Code: 81401
Telephone Number: f.970 1 - 249-7191
CC: ST:yin OR FTSDERAL LANDOWNER fif 3n :•1
Acencr:
Screec:
C: -•r
Scata: _ip Code:
• -e:ee rcne Number: f ~