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• IIIIII111111IIIIIII C, I: b1a��8 ���3xs = <br /> ANNUAL FEE and REPORT REQUEST <br /> PERMITTEE NAME: Umetco Minerals Corporation RECEIVED <br /> PERMIT NO.: S'T NOV 2 2 2Q(10 <br /> OPERATION NAME: Lumsden Mine Area <br /> ANNIVERSARY DATE: November 29,2000 Division of Minerals and Geology <br /> ANNUAL FEE DUE: $225.00(Due on or before your anniversary date) <br /> COUNTY: Mesa <br /> According to C.R.S. 34-32.5-1 16 or C.R.S. 34-32-1 16,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. Please note that an <br /> adequately labeled map than clearly delineates curd inchOes 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 /> Pennittee Contact: Robert F. Barnett <br /> Perm ittee Name: Umetco Minerals Corporation <br /> Address: P.O. Box 506 <br /> Dove Creek, CO 81324 <br /> Phone Number: (303) 677-271 1 (970)677-2711 <br /> Fax Number: (970) 677-2422 <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 /> 01 <br /> A4L <br /> Signature of Corporate Officer, o0wner <br /> //-/ 7 - vv <br /> Date <br />