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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~ III IIIIIIIIIIIII III <br />ANNUAL FEE and REPORT REQUEST <br />International Uranium (USA) Corp. <br />M-1997.032 <br />Van 4 Shaft <br />November 3, 2000 <br />RECE~VEp <br />OCT 3 0 2000 <br />Division o/Minerals and CeoloBY <br />$225.00 (Due on or before your anniversary date) <br />Montrose <br />According to C.R.S. 34-32.5-I 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 [hat will be performed during the coming year, the dates for [he <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual report maa to this form. Please note that on <br />adequately lnbeled map thnt clearly delineates and includes dte above elements mny since for n n•ritten <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Earl E. Hoellen Michelle R. Rehmann <br />Permittee Name: International Uranium (USA) Corp. <br />Address: 1050 Seventeenth St., Ste. 950 <br />Denver, CO 80265 <br />Phone Number: (303) 629-7798 (303) 628-7798 <br />Fax Number: (303) 389-4125 (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 attach i[ to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />Si n tore Corporate Officer or Owner <br />October 27, 2000 <br />Date <br />David C. Frydenlund <br />Vice President and General Counsel <br />~ C~c-# 131 ~~ <br />~ Roo <br />M ~PERMIPMASTER DOCUMENrS/M-AF~02.DOC <br />