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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) 245 -7543 <br />Signature of Corporate Officer, Owner, or Designee <br />€ 7z 7/u <br />Date <br />M:\ PERMIT \MASTERDOCUMENTS /M- AF- 02.DOC <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: ✓ Umetco Minerals Corporation REC <br />PERMIT NO.: /M-1977-288 v" JUN a 2011 <br />OPERATION NAME: Deremo- Snyder 9 Qivisicn of reclamation, <br />Wrung and S 71 <br />ANNIVERSARY DATE: July 1, 2011 <br />ANNUAL FEE DUE: $1,150.00 (Due on or before your anniversary date) <br />COUNTY: 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 annual report and annual report map 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 year's map are necessary, then no new map is required, provided that the <br />Operator 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 />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below e - : - eh it to this form along with your written report and map. Annual Report instructions are <br />enc . sed. <br />