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' ~J <br />ANNUAL FEE and REPORT REQUEST <br />RECEIVED <br />APR 2 2 ^:,:,? <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />International Uranium (USA) Corp. <br />M-1977-285 <br />Sunday Mine <br />May 1, 2002 <br />$550.00 (Due on or before your anniversary date) <br />San Miguel <br />Oivisioa of t~iaer;i> ~ :% ~~ylsldY <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 [o affected <br />- -land; reclamation accomplished t- o date an durtn'g the`precedlrig yeaz, 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 man 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 permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Terry V. Wetz <br />Permittee Name: International Uranium (USA) Corp. <br />Address: Independence Plaza, 950 <br />1050 l7th St. Ste. 950 <br />Denver, CO 80265 <br />- - _ - --Phone Number: (303) 628-7798 <br />Fax Number: (303) 389-4126 <br />If you have additional comments and/or information that should be provided [o the Division, please provide it <br />below rat ch it to this form along with your written report and map. Annual Report instructions are <br />enclo d. <br />Signature of Corporate Officer or Owner <br />~T`~~! `1~o Z <br />Date <br />M iPERMITV.7ASTERD000MENTS/M-AF-02. DOC <br />