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p,F 4- Q <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Umetco Minerals Corporation <br />PERMIT NO.: M-1977-288 <br />OPERATION NAME: Deremo-Snyder ?y <br />ANNIVERSARY DATE: July 1, 2010 Ly <br />ANNUAL FEE DUE: $1,150.00 (Due on or before your anniversary date) <br />COUNTY: San Miguel <br />RECEIVED <br />,/ JUN 3 U 2010 <br />Divisiou ui r wudf,0t1on, <br />Mining and Safety <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 annual report and annual report man to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous vear's map are necessarv. then no new man is required. provided that the <br />Opeator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Thomas E. Gieck <br />Permittee Name: Umetco Minerals Corporation <br />Address: 2754 Compass Dr Ste 280 <br />Grand Junction, CO 81506 <br />Phone Number: (970) 256-8889 <br />Fax Number: (970) 2457543 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />B or a ach it to this form along with your written report and. map. Annual Report instructions are <br />nclo ed. <br />Signature of Corporate Officer, Owner, or Designee <br />G /,.2 flAo% <br />Date <br />M:\PERMIT\MASTERDOCUMENTS/M-AF-02.DOC