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

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14. Correwondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit):
Contact's Name: Harold R. Roberts Title: Executive V.P. - US Operations
Company Name. Denison Mines (USA) Corp.
Street: 1050 17th Street, Suite 950 P.O. Box:
City: Denver
State: Colorado Zip Code: 80265
Telephone Number: (303 _ 628-7798
Fax Number: (303 _ 389-4125
PERMITTING CONTACT (if different from applicant/operator above):
Contact's Name: Christy Woodward Title: Environmental Coordinator
Company Name. Denison Mines (USA) Corp.
Street: 1050 17th Street, Suite 950 P.O. Box:
City: Denver
State: Colorado Zip Code: 80265
Telephone Number: (303 - 389-4136
Fax Number: (303 1 _ 389-4125
INSPECTION CONTACT:
Contact's Name: Jim Fisher Title: Mine Superintendent
Company Name. Denison Mines (USA) Corp.
Street: 9244 W. Highway 141 P.O. Box: 160
City: Egnar
State: Colorado Zip Code: 81325
Telephone Number: (970 - 677-2702
Fax Number: (970 _ 677-2703
CC: STATE OR FEDERAL LANDOWNER (if any):
Agency: Bureau of Land Management
Street: 29211 Highway 184 (P.O. Box 210)
City: Delores
State: Colorado Zip Code: 81323
Telephone Number: (970 1 _ 882-6843
CC: STATE OR FEDERAL LANDOWNER (if any):
Agency:
Street:
City:
State: Zip Code:
Telephone Number: