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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />International Uranium (USA) Corp. <br />M-1978-039-IIR <br />St Jude Mine <br />November 1, 2004 <br />$225.00 (Due 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 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 annnal repprt and annnal report mare to this form- piease note that an <br />adequately labeled map that clearly delineates and includes the above elements may since 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. Hochstein <br />Permittee Name: International Uranium (USA) Corp. <br />Address: Independence P1aza,950 <br />1050 Seventeenth St. <br />Phone Number: <br />Fax Number: <br />Denver. CO 80265 <br />(303)389-4153 <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 />enclosed. <br />!re oFCorporate UHicer, Owner, or llesignee <br />~ c. PttyDevur,/A, ~cc PR6+taEVrf G.-lNs,'.~` cooNrcc <br />Date ~C l ~;' d <br /> <br />M:~PERMI'I\MASTERDOCIJMENTS/M-AF-02.DOC <br />