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11111111111 11111111191 <br /> ANNUAL FEE and REPORT REQUEST c rc <br /> PERMITTEE NAME: International Uranium (USA) Corp. RECL1`V GD <br /> PERMIT NO.: ;M-1977-293 clC, <br /> OPERATION NAME: Monogram-Jo Dandy OtVtStrootMtoeratSanaGento9Y <br /> ANNIVERSARY DATE: November 27,2000 <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, 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 suf ice 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: Michelle R. Rehmann <br /> Perrrittee Name: International Uranium (USA) Corp. <br /> Address: Independence Plaza, 950 <br /> 1050 Seventeenth St. ste 950 <br /> Denver, CO 80265 <br /> Phone Number: (303) 628-7798 <br /> Fax Number: (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 it to this form along with your written report and map. Annual Report instructions are <br /> enclosed. <br /> Si 4ature of Oorporate Officer or Owner <br /> Octnhor 27, 20nn <br /> Date <br /> David C. Frydenlund <br /> Vice President and General Counsel <br /> M TERMmMASTERDOCUMEMb/M AF 02.DOC <br />