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ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Umetco Minerals Corporation va <br />R~~~°~ ~ ~ <br />PERMIT NO.: M-1997-286 <br />OPERATION NAME: Maybell Mine AUG 2 7 2004 <br />ANNIVERSARY DATE: July 2, 2004 <br />Division of Minerals ~, GeeloAY <br />ANNUAL FEE DUE: $550.00 (Due on or before your anniversary date) <br />COUNTY: Moffat <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 year, new disturbances that aze anticipated to <br />occur during the upcoming year, 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 your revised written annual renoM 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 />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: John Hamrick <br />Permittee Name: Umetco Minerals Corporation <br />Address: 2754 Compass Drive, Suite 280 <br />RaheJunge <br />Grand Junction, CO 81506 <br />Phone Number: (970) 256-8881 <br />Fax Number: (970) 245-7543 <br />(9701256-8828 <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 enclosed. <br />.fL <br />Mines Recl a on Manager <br />~ZS~~O <br />Date <br />