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ANNUAL FEE and REPORT REOUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />9 Denison Mines (USA) Corp. <br />,/'M-1981-021 <br />West Sunday <br />May 29, 2011 <br />RECEIVED <br />MAY Z 6t'l <br />Division of Reclamation, <br />Mining & Safety <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 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 your revised written annual report and annual report map 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 durine the previous year and no <br />new changes to the previous year's may are necessary, 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: <br />If you have ad,d?' 'onal comments d/or information that should be provided to the Division, please provide it <br />below or g ut to tj? is firm al with your written report and map. Annual Report instructions are <br />Si i(e of Corporate Officer, Owner, or Designee 17 <br />Iii <br />M:IPERMITIMASTERDOCUMENTS/M-AF-02.DOC