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III IIIIIIIIIIIIIIII <br /> � r <br /> ANNUAL FEE and REPORT REQUEST RECEIVED <br /> OCT 2 2 toot <br /> PERMITTEE NAME: International Uranium (USA) Corp. <br /> PERMIT NO.: M-1977-293 <br /> Division of Minerals and Geology <br /> OPERATION NAME: Monogram-Jo Dandy <br /> ANNIVERSARY DATE: November 27, 2001 <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 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 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 /> reparl. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: Mmehelle R. Reh,:mnn ire? L <br /> Permittee Name: Intemational Uranium (USA) Corp. <br /> Address: Independence Plaza, 950 <br /> 1050 Seventeenth St. ste 950 <br /> Denver,CO 80265 <br /> Phone Number: (303) 629-7798 <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 /> /gnature oCorporate Officer or Owner/ <br /> Dalc <br /> hi TERMITIMASTERDOCUMENTS/M AF-02 DOC <br />