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<br />PERMI'ITEE NAME: <br />PERMTf NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Umetco Minerals Corporation <br />M-1977-294 <br />Rajah 30 <br />December 1, 2003 <br />DEC 0 21003 <br />$225.00 (Due on or before your anniversary date~`srort of Minerals and Geology <br />Mesa <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 operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding yeaz, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />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 mao to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following pernrittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Rohe Junge <br />Permittee Name: Umetco Minerals Corporation <br />Address: 2754 Compass Drive, Suite 280 <br />Grand Junction, CO 81506 <br />Phone Number; (970) 245-3700 <br />Fax Number: (970) 245-7543 <br />(970)256-8828 / <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 />Signature of Corporate O~ er, Owner, or Designee <br />//-~~~~ <br />Dale <br />M:/PERMTT/MASTERD000MENTS/M-AP-9] <br />