2005-11-21_REPORT - M1977294

• Permit No: M1977294
• IBM Index Class Name: Report
• Doc Date: 11/21/2005
• Doc Name: Annual Fee/Report/Map
• From: Umetco Minerals Corporation
• To: DMG
• Media Type: D
• Archive: No

5
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNIiAi. FF.F, and REPORT RF.nfTF.ST
1 'Ume Minerals Corporation
-1977-294
Rajah 30
December 1, 2005
RECE~ VED
~lt 2 1 ~
~Oivision of Minerals and Geols®y
$225.00 (Due on or before your anniversary date)
Mesa
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an
operator shall submit the annual fee, a report and map showing the extent of ctnrent disturbances to affected
land, reclamation accomplished to date and during the preceding yeaz, new disturbances that are anticipated to
occur during the upcoming yeaz, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the yeaz, if any.
Please attach ynnr revised written annnal report and annual rennrt main this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Petmittee Contact: Rahe Junge
Permittee Name: Umetco Minerals Corporation
Address: 2754 Compass Dr. Ste. 280
Grand Junction, CO 81506
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
. ~~4~
Signature of tcer, Owner, of Designee
~J.k.~ j 11 ~
Date
M:WERMIlN1ASTERD000MEN'rS~M-AF-02.DOC