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RECEIVED <br />OCT 2~61~5 ~ <br />Division of Minerals and Geology ~(7 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Af • rr'T <br />International Uranium (USA) Corp. ~{^ <br />~/N~I-1977-416 <br />Carnation Mine <br />November 1, 2005 <br />$225.00 (Due on or before your anniversary date) <br />San Miguel <br />i <br />~' C d <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 I <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_yeac,_new-disturbances_thatare-anticipated_to I <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 rinmral report and annnal report m ~n to Chic form. Please note that an <br />adequately labeled rnap that clearly delineates and includes the above elements may since 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: Teny V. Wetz <br />Permittee Name: International Uranium (USA) Corp. <br />Address: Independence Plaza, 950 <br />1050 Seventeenth St. <br />Denver, CO 80265 <br />Phone Number: (303) 389-4161 <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~nathre o'f Corporate Officer, Owner, or Designee //'~ <br />~M/~DC.FRyD~I/ND~ VicEt~REJipevYACrE1vfRAe.t.a7/N,f6L <br />25OC~aBEIL 2oaS <br />Date <br />M:~PERMITVv1ASTERDOCUMENTS/M-AF-02.DpC <br />