2004-10-14_REPORT - M1997032

• Permit No: M1997032
• IBM Index Class Name: Report
• Doc Date: 10/14/2004
• Doc Name: Annual Fee/Report/Map
• From: International Uranium ‎(USA)‎ Corp.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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International Uranium (USA) Corp.
M-1997-032
Van 4 Shaft
November 3, 2004
OOj ~ 4
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
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O%Visipn pt Mi ~ci T o07
^~a $ Apo/pey
$225.00 (Due on or before your anniversary date)
Montrose
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
operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected
land, reclamation accomplished to date and duffing the preceding yeai, new disturbances that are anticipated to
occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach ymlr revised written anmlal report and annnal report maw to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Pertnittee Contact: Terry V. Wetz
Permittee Name: Intemational Uranium (USA) Corp.
RPM F. ~-lo~kst~~~
Address: 1050 Seventeenth St., Ste. 950
Denver, CO 80265
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
Signa a of Corporate Officer, Owner, or Designee
DR/ID ~•• ~RYD~t~NO~ (//GA ~/~EJI~Td (i u~/te71A~ ~O ~N14~
Date 'V f ('; l 0
M:~PERMI7IMASTERD000MENTS/M-AF-02.DOC