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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />International Uranium (USA) Corp. <br />M-1978-039-HR <br />St Jude Mine <br />November 1, 2003 <br />$225.00 (Due on or before your anniversary date) <br />San Miguel <br />G~~C~~`~'t~ <br />OCT 2 i 2003 <br />division of Minerals and Geole^~~ <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 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 anmral report and annual rennrt m ~n to this fnrm_ 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 permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Terry V. Wetz <br />Permittee Name: Intertiational Uranium (USA) Corp. <br />Address: Independence Plaza, 950 <br /> 1050 Seventeenth St. <br /> Denver, CO 80265 <br />Phone-Number:- {303),628-7798-- - - -- - <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 />Sig tur f C rporate Officer, Owner, or Designee <br />J7wN~/ C. ~ryae+IK,cP, Vrce Qnside..~ A 4e~e.-al Cep..,..(. <br />~>~~~ ~ <br />Date <br />MiPrRMITVNASTERDOCUMENTS/M-AF-02. WC <br />