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r~o <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-1980-055-HR <br />Topaz Mine <br />February 2,2006 <br />$225.00 (Due on or before your anniversary date) <br />San Miguel <br />RECEIVED <br />JAN 17 2U4fi <br />Oividen et Minerals and GeolelfY <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 />~lan~, rec amahon accomp is a to date an unng the prece and g year, new istur~hat 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 qtr revised written annnal rennrt and annual rennrt mad 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: Terry V. Wetz <br />Permittee Name: International Uranium (LISA) Corp. <br />Address: Independence Plaza, 950 <br />1050 17th St. <br />Phone Number: <br />Fax Number: <br />Denver, CO 80265 <br />(303)389-4161 <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 />ignature of Co orate Officer, Ow~ter, or Designee <br />~-ikROL~ Z • ~0 OEt~S ~ rI~GG l RES/dEN> <br />.~~~. /3 /. ,t~a¢, <br />Date <br />MdPERMI'[iMASTERDOCUMENTSlM-AF-02.DOC <br />