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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNPJERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Umetco Minerals Corporation <br />M-1977-286 <br />Maybell Mine <br />Jnly 2, 2002 <br />RECEIVED <br />JUN 2 8 2001 <br />Division of Minerals and Geology <br />$550.00 (Due on or before your anniversary date) <br />Moffat <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 [he upcoming year, reclamation [hat 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 suffice for a written <br />report. <br />Division records indicate the following pemuttee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: <br />Permittee Name <br />Address: <br />Phone Number: <br />Fax Number: <br />Tony Bates <br />Umetco Minerals Corporation <br />P.O. Box 1029 <br />Grand Junction, CO 81502 <br />(970) 256-8881 <br />(970)243-9623 <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 />Signature of Corporate Officer caner <br />ete <br />M iPERMI71h7ASTERD000M ENTS/M-AF-02. DOC <br />