2009-06-01_REVISION - M1977285

• Permit No: M1977285
• IBM Index Class Name: REVISION
• Doc Date: 6/1/2009
• Doc Name: Application Form
• From: Denison Mines
• To: DRMS
• Type & Sequence: AM3
• Email Name: RCO
• Media Type: D
• Archive: No

STATE
COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY Department of Natural Resources 1
1313 Sher nan SL, Room 215
Deriver, Colorado 80203 t VciS?\`1 ?,
Phone: [phone] \6t9 Ua??Dna
FAX: [phone] { O\?
REGULAR (112d) DESIGNATED MINING OPEIMION
RECLAMATION PERMIT
APPLICATION FORM
CHECK ONE: New Application (Rule 1.4.5) Amendment Application (Rule 1.10)
Conversion Application (Rule 1.11)
Permit. No. M- 1977 .285 (provide for amendments and conversions of existing permits)
COLORADO
DIVISION Of
RECLAMATION
MINING
SAFETY
Bill Ritter, Jr.
Govemor
Harris D. Shernm
Executive Director
Ronald W. Canary
Division Director
Natural Resource Trustee
The application for a Regular (112d) Designated Mining Operation Reclamation Permit contains three major parts: (1) the application form;
(2) Exhibits A-T, Geotechnical Stability Exhibit, the Emergency Response Plan, and Addendum 1, as required by the Office, and outlined in Rules
6.1, 6.2, 6.3, 6.4.19, 6.5, 8.0, and 1.6.2(1)(b); and, (3) the application fee. When you submit your application, be sure to include one (1) signed and
notarized original and four (4) copies of the application form, five (5) copies of Exhibits A-T, Rule 6.5 Geotechnical Stability Exhibit, the
Emergency Response Plan, Addendum 1, and a check for the appropriate application fee (described under Section (4) on Page 2). Exhibits should
not be bound or in a 3-ring binders; maps should be folded to 8 ''/2" X 11" or 8 'h" X 14" size. To expedite processing, please provide the
information in the format and order described in this form.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, all information described below.
1. Applicant/operator or company name (name to be used on permit):
Denison Mines (USA) Corp.
1.1 Type of organization (corporation, partnership, etc.): Corporation
1.2 I.R.S. Tax ID No. or Social Security Number:
2. Operation name (pit, mine or site name): Sunday Mine
3. Permitted acreage: (new or existing site) 60.0 permitted acres
3.1 Change in acreage (+) 0.0 acres
3.2 Total acreage in Permit area 60.0acres
Of ke of Office of
Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines