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,N <br /> ANNUAL FEE and REPORT REQUEST <br /> R <br /> rC <br /> PERMITTEE NAME: Umelco Minerals Corporation RE"� C <br /> PERMIT NO.: M-1977-296 5E ?001 <br /> OPERATION NAME: King Solomon—Dolores Bench J - and Geology <br /> ANNIVERSARY DATE: September 1,2001 Division of <br /> ANNUAL FEE DUE: $550.00(Due on or before your anniversary dale) <br /> COUNTY: Montrose <br /> According to C.R.S. 34-32.5-1 16 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. Please note that an <br /> adequately labeled map that clearly delineates and includes the above elements may since for a written <br /> report. <br /> Division records indicate the following pennittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: Robert F. Barnett Tony Bates <br /> Permittee Name: Umetco Minerals Corporation <br /> Address: P.O. Box 506 P.O Box 1029 <br /> Dove Creek, CO 81324 Grand Junction, CO 81502 <br /> Phone Number: (970) 677-2711 (970) 256-8881 <br /> Fax Number: (970) 677-2422 (970) 243-9623 <br /> If you have additional comments and/or information that should be provided to the Division, please provide it <br /> Below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br /> Signature ofCorporate Oftiee r Owner <br /> O 7/40 I <br /> Date <br /> Annual Report for King Solomon-Dolores Bench <br />