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<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-HR <br />Topaz Mine <br />February 2,2003 <br />REDE?~ED <br />~~~ <br />FE3 ,; 4 c.~ <br />pfvision of Minerals and Geology <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 />---operaior~hall_submit_the atutual 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 an icipated-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 y nor revised written annual report and annnal report mad to this form- Please 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: Terry V. Wetz <br />Permittee Name; International Uranium (USA) Corp. <br />Address: Independence Plaza, 950 <br /> 1050 17th St. <br /> Denver, CO 80265 <br />Phone Number: (303) 628-7798 - -" - -- <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 />1 /L ~'l~ 3 <br />Date <br />Officer, Owner, or Designee <br />M:~PERMITIMASTERDOCUMEMS/M-AF-02. DOC <br />