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<br /> <br /> <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-1977-416 <br />Carnation Mine <br />November 1, 2004 <br />RECE~~1Ep <br />OCT 14 ?004 <br />O~vision 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 />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 anneal repot and anneal report m to this Form_ please note that an <br />adequately labeled map that cieariy 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 Plaza, 950 <br />Phone Number: <br />Fax Number: <br />1050 Seventeenth St. <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 />fd~6 of Corporate Officer, Owner, or Designee <br />D C. FKyD~dt.v,/D , //!e /~Rfs/~~'Tt 6rxti~R.l~ CO~~//EC <br />Dale ~V r~ <br />M:NERMI'1\MASTEROOCUMh'NTS/M-AF-02. DOC <br />