2009-06-01_REVISION - M1977416

• Permit No: M1977416
• IBM Index Class Name: REVISION
• Doc Date: 6/1/2009
• Doc Name: Application Form
• From: Denison Mines
• To: DRMS
• Type & Sequence: AM1
• Email Name: RCO
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION Of RECLAMATION, MINING AND SAFETY
Department of Natural Resources
®A
1313 Sherman St., Roan 21 S o?
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
DESIGNATED MINING a
COLORADO
DIVISION Of
RECLAMATION
MINING
SAFETY
LIMITED IMPACT (110d) OPERATION Bill Ritter, Jr.
Governor
RECLAMATION PERMIT APPLICATION FORM Hards D Sherman
Executive Director
Ronald W. Cattany
Division Director
CHECK ONE: New Application (Rule 1.4) Q Amendment Application (Rule 1.8 or 1.10) Natural Resource Trustee
QConversion Application (Rule LI 1)
Permit # M-1977 -.416 - (provide for Amendments and Conversions of existing permits)
The application for a Limited Impact (1 IOd) Designated Mining Operation Reclamation Permit contains three major parts: (1) the application
form; (2) Exhibits A-J, Exhibit L, Exhibit T, the 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, 6.4.20 6.5, 8, 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 one (1) copy of the application form, two (2) copies of Exhibits A-J, Exhibit L, Exhibit T, the
Geotechnical Stability Exhibit (Rule 6.5), the Emergency Response Plan (Rule 8), and Addendum 1(Rule 1.6.2(1)(b)), as required, and a check for
the application fee described under (4) below. Exhibits should NOT be bound or in 3-ring binders; maps should be folded to 8 2" X I i " or 8 2" 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,

2. Op eration name (pit, mine or site name): Carnation Mine
3. Per mitted acreare (new or existinta site): 9.76 permitted acres
3.1 Change in acreage (+) 0.0 acres
Total Acreage in Permit Area 9.76 acres
4. Fees: (Rule 1.5)
4.1 New Application $2.875.00 application fee
4.2 Amendment Fee (operations existing as of 06/30194) $1.725.00 application fee
4.3 Amendment Fee (operations permitted from 07/01/94) $2.300.00 application fee
4.4 After July 1, 1995, to convert a 110(1), 110(2) or a 110 to a 110(d), a new application form for a 1 l Od must be submitted, along
with an application fee of $2.875.00 (Rule 1.11.2(2)).
5. Pri mary commodities to be mined: Uranium Nanadiun1
F
a
F
6. Typ e of mining operation:
Surface
Underground
In-situ
Office of Office of
Mined Land Reclamation Denver • Grand )unction • Duran p Active and Inactive Mines