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1 ~ <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: International Uranium (USA) Corp. RECEIVED <br />PERMIT NO.: M-1978-222-UG FEB 1 1 Y00P <br />OPERATION NAME: Monogram Mines Divrslon of Minerals and Geology <br />ANNNERSARY DATE: March 1, 2002 <br />ANNUAL FEE DUE: $225.00 (Due on or before your anniversary date) <br />COUNTY: Montrose <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; reelamatior.-accomplished-to-dace-and-during-the preeedinb year; ne::~dis:arbances-that-a:e-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 [he year, if any. <br />Please attach vour revised written annual resort and annual report map to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: ""~°`°". °-~.~,.,ann <br />Permittee Name: International Uranium (USA) Cotp. <br />Address <br />Phone Number: <br />Fax Number: <br />Independence Plaza, 950 <br />1050 Seventeenth St. <br />Denver, CO 80265 <br />(303)628-7798 <br />(303)389-4125 <br />Terry V. Wetz <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 <br />enclosed. <br />natu/c~o~ Corporate Officer or Owner <br />ce President and General Counsel <br />Fab ~a~-v ~ ~ 2002 <br />Date <br />M:~PERMI'nMASTERDOCUMENTS/M-AF-02. DOC <br />