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i>-oG ~,6 <br />J~~ <br />Y~ ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: ~ International Uranium (USA) Corp. R ~~ ~ R ~ a <br />PERMTI' NO.: /M-1997-032 ~D~T 3 ~ Zoos <br />OPERATION NAME: Van 4 Shaft vDivision of Reclamation, <br />ANNNERSARY DATE: November 3, 2006 Mining and Safety <br />ANNUAL FEE DUE: $225.00 (Due on or before your anniversary date) <br />COUNTY: Montrose <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 shalt submit-the annual'fee, a report ah3 map`showing the`extanf of wrren"t~isfurbances 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 vour revised written annual reuort and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, reuort, and <br />associated map. If no new disturbances or reclamation have occurred durnnt: the previous year and no <br />new changes to the previous year's maa are necessary, then no new mau is required, arovided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may suffice for a written 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: 1050 Seventeenth St., Ste. 950 <br />Denver, CO 80265 <br />Phone Number: <br />Fax Number: <br />(303)389-4161 <br />(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 />of Corporate Officer, Owner, or Designee <br />l2. ~o BCR7S~ Vit£ pRe~n~B+'i OPen tAo~rr <br />Date <br />M:~PERMIT~MASTERDOCUMEMS/M-AF-02.DOC <br />