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tl?- A- R" <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Denison Mines (USA) Corp. <br />M-1980-055-HR <br />Topaz Mine <br />A9CJE' j10 <br />? s,Ajr 19 2? <br />Uvis;vn of R-damation <br />February 2, 2011 <br />$1,150.00 (Due on or before your anniversary date) <br />San Miguel <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 permit, an <br />- - operator shall-submit the-annual fee, a report and-map showing the extent of current disturbances toaffected land, reclamation accomplished to date and during the preceding year, <br /> 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 your revised written annual report and annual report may to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map If no new disturbances or reclamation have occurred during the previous year and no <br />new chances to the previous year's may are necessary, then no new may 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 since 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: <br />Fax Number: <br />(303) 628-7798 <br />(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 a ch it to this form along with your written report and map. Annual Report instructions are <br />enclos <br />0Z lr?, <br />Signa re of Corporate Officer, Owner, or Designee <br />?31Z ? 1140 <br />Date <br />M:\PERWT\A, ASTERDOCUMENTS/M-AF-02.DOC <br />