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v <br />Ap * JZ-P T <br />ANNUAL FEE and REPORT REOUEST <br />PERMITTEE NAME: Denison Mines (USA) Corp. r 3 s ';-0 <br />PERMIT NO.: M-1978-039-HR ::Sion J'' <br />u"'J ?... <br />OPERATION NAME: St Jude Mine <br />ANNIVERSARY DATE: November 1, 2009 <br />ANNUAL FEE DUE: $518.00 (Due on or before your anniversary date) <br />COUNTY: San Miguel ''? NOV 0 3 2009 <br />D, I of Rec <br />Ajinnq andlitior <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 perms , , <br />--operator shall submit the-annual-fee; a-report and-map showing-the-extent of-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 vour revised written annual resort and annual report man to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated may. If no new disturbances or reclamation have occurred during the previous year and no <br />new chances to the nrevious vear's man are necessarv. 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 (USA) Corp. <br />Address: 1050 17th Street, Suite 950 <br />Denver, CO 80265 <br />Phone Number: (303) 628-7798 <br />Fax Number: (303) 389-4125 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or atth it to this form along with your written report and map. Annual Report instructions are <br />enclose <br />Signa re of Corporate fficer, Owner, or Designee <br />j ,20o 9 <br />Date 7 <br />M:PERMITIMASTERDOCUMENTS/M-AF-02.DOC