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OCT-2g-02 06:55 FROM-Colorado Division of Minerals & Geolaay <br />PERMITTEE NAM&: <br />PERMIT NO.: <br />OPERA710N NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEH DUE: <br />COUNTY: <br />+13036663567 <br />T-453 P.006/006 <br />International Uranium (USA) Corp. <br />Mr-x997-o32 <br />Van 4 Shaft <br />November 3, 2002 <br />$225-00 (Due on or before your anniversary date) <br />riTontrose <br />F-656 <br />RECEIVED <br />ocr z s z~2 <br />Division of Minerals and Geology <br />According to C.R.S. 34-32.5-116 or C.R.S_ 34-32-116, each year, on the anniversary date oP the permit, an <br />operator shall submit the annual fee, a repon 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 t0 <br />occur Burin; the upcoming year, reclamation that will be performed during the comin„ year, the dates for the <br />beginning of active operations, and the dale active operations ceased for the year, if any. <br />Please att}aCh your revised written annual rennrt and annual report man to this form. Please note that mt <br />adequately labeled mop that clearly delineates cmd includes the nbove elements may st~ce for a written <br />report. <br />Division records indicate the fallowing Permittee contact information. Please verify and make any necessary <br />changes <br />Permittee Contact Terry V. Wetz <br />Permittee Nvne: International Uranium (USA) Corp. <br />Address: 1050 Seventeenth St., Ste. 950 <br />Denver, CO 80265 <br />Phone Number: (303) 628-7798 <br />Fax Number: (303) 389}125 <br />If you helve additional comments and/or information that should be provided to the Division, please provide it <br />below or attach i[ to this form along with your written repon and map. Annual Repon insunetions are <br />enclosed. <br />Si a re of Corporate Officer, Owner, or Desio ee <br />/O~L y~u Z <br />Date <br />