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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />i~ <br />~~~~~~ <br />ANNUAL FEE and REPORT REQUEST <br />`~enison Mines (USA) Corp. <br />~M-1980-055-I3R <br />Topaz Mine <br />February 2, 2008 <br /> <br />~~~~ <br />SAN 16 2008 <br />Uiv +u.. ui' i2eciamation, <br />Mining and S~feiy <br />$$633.00 (Due on or before your anniversary date) <br />San Miguel <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an <br />operator shall submit the-annual fee, areport-and map showirsthe extent cf current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred durin 7~theprevious year and no <br />new changes to the previous year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Christy Woodward <br />Permittee Name: Denison Mines (LISA) Corp. <br />Address: 1050 17th Street, Suite 950 <br />Denver, CO 80265 <br />Phone Number: (303) 628-7798 <br />Fax Number: ~ 3(jaj~ 7j Q,q - ~' ~ 25 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed <br />ignature of Corporate Officer, Owner, or Designee <br />~i4,~y _ g _ Z. de 8 <br />Date <br />M:~PERMIIIMASTERDOCUMENTS/M-AF-02.DOC <br />