2008-09-29_REPORT - M2007044 ‎(2)‎

• Permit No: M2007044
• IBM Index Class Name: REPORT
• Doc Date: 9/29/2008
• Doc Name: Whirlwind mine sump
• From: Energy Fuels Resources Corporation
• To: DRMS
• Email Name: GRM
• Media Type: D
• Archive: No

PUMP INSTALLATION AND TEST REPORT
FORM NO.
GWS-32
STATE OF COLORADO, OFFICE OF THE STATE ENGINEER For Office Use Only
08/2008 1313 Sherman St., Room 818, Denver, CO 80203
Info [phone] Main [phone]
Fax [phone] hftp://www.water.state.co.us
1. WELL PERMIT NUMBER: 66419
2. WELL OWNER INFORMATION
NAME OF OWNER
Energy Fuels Resources Corporation
MAILING ADDRESS
44 Union Boulevard, Suite 600
CITY STATE ZIP CODE
Lakewood CO 80228
TELEPHONE #
303 974-2140
3. WELL LOCATION AS DRILLED: SE1/4, SE114 Sec. 35, Twp. 51 ® N or ? S, Range 20 ? E or N W
DISTANCES FROM SEC. LINES: 4322 ft. from N N or ? S section line and 1292 ft. from N E or ? W section line.
SUBDIVISION: NA LOT NA, BLOCK NA, FILING (UNIT) NA
Optional GPS Location: GPS Unit must use the following settings: Format must be UTM, Units Easting:
must be meters, Datum must be NAD83, Unit must be set to true N, ? Zone 12 or ? Zone 13 Northing:
STREET ADDRESS AT WELL LOCATION: 30100 5/10 Road, Gateway, CO 81522
4. PUMP DATA: Type: Air-Operated Utility Puma Date Installed: 2/1/2008
Pump Manufacturer: Wilden Pump Model No. PV15 METAL
Design GPM: 50 at RPM NA HP NA Volts NA Full Load Amps NA
Pump Intake Depth: 190 Feet, Drop/Column Pipe Size 3 Inches, Kind of Drop Pipe HDPE
ADDITIONAL INFORMATION FOR PUMPS GREATER THAN 50 GPM: Turbine Driver Type: ? -Electric ? Engine N Other Pneumatic
Design Head 255 feet Number of Stages 1 Shaft size NA inches
6. OTHER EQUIPMENT:
Airline Installed ? Yes N No, Orifice Depth ft. Monitor Tube Installed ? Yes N No, Depth ft.
Flow Meter Mfg. SeaMetdcs TX80/FT400 Meter Serial No. 08072910/08072908
Meter Readout: Gallons, ? Thousand Gallons, ? Acre feet Beginning Reading 0
6. TEST DATA: ® check box if Test Data is submitted on Supplemental Form.
Date: 2/4/08
Total Well Depth: 190 ft. Time: NA
Static Level: NA ft. Rate (gpm): 50
Date Measured: NA Pumping Level ft : 190
7. DISINFECTION: Type None Amt. Used NA
8. Water Quality analysis available: ® Yes ? No If yes, lease submit with this report.
9. Remarks: See Attached Supplemental Information

10. 1 have read the statements made herein and know the contents thereof, and they are true to my knowledge. This document is signed and
certified in accordance with Rule 17.4 of the Water Well Construction Rules, 2 CCR 402-2. [The filing of a document that contains false
statements is a violation of section 37-91-108(1)(e), C.R.S., and is punishable by fines up to $5000 and/or revocation of the contracting
license.
Company Name:
1 Phone: License Number:
,Energy Fuels Resources Corporation [phone]
Mailing Address:
44 Union Boulevard, Suite 600
Sign 1 nre7) Print Name and Title ate( !(;`
?c?
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Stephen Antony, Exec VP/COO