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_> <br />.,.~. <br />~ ~ <br />~~ <br />~C~ <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-1980-055-IIR <br />Topaz Mine <br />February 2, 2004 <br />RECEI~'E~ <br />MAR 16 2004 <br />Oivisian at Minerals & Gealopy <br />$225.00 (Dae on or before your anniversary date) <br />San Miguel <br />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 <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 yeaz, new disturbances that aze anticipated to <br />occur during the upcoming yeaz, reclamation that will be performed during the coming yeaz, the dates for the <br />beginning of active operations, and the date active operations ceased for the yeaz, if any. <br />Please attach y~~r revised written annnal report and annnal report ma= 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 />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Ron F. FIochstein <br />Perrnittee Name: International Uranium (USA) Corp. <br />Address: Independence Plaza, 950 <br />1050 17th St. <br />Denver, CO 80265 <br />Phone Number: (303) 389-4153 <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 />Sign~lurd of C1Srporate Officer, Owner, or Designee <br />-D~ktiD c. F1<YDF.t+ww~, VrcePR~~Da~r <br />Z /z 16 y <br />Date~~~~ <br />M:WF,RMI71MASrERDOCIIMEN'rS/M-AF-02.DOC <br />