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<br />PERMITTEE NAME: International Uranium (USA) Corp. ~~CEfvE~ <br />PERMIT NO.: M-1978-222-UG FEB 2 8 20~ <br />OPERATION NAME: <br />ANNIVERSARY DATE: Monogram Mines <br />March 1, 2003 <br />OivisionatMineralsaadGttolo~ <br />ANNUAL FEE DUE: $225.00 (Due on or before your anniversary date) <br />COUNTY: Montrose <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 pemut, 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 yonr revised written anneal report and anneal re ore t man to this form. Please note that an <br />adequately labeled map that clearly delineates and includes 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 />Permittee Contact: Terry V. Wetz <br />Permittee Name: International Uranium (USA) Corp. <br />Address: Independence Plaza, 950 <br />1050 Seventeenth St. <br />Denver, CO 80265 <br />Phone Number: (303) 628-7798 <br />Fax Number: (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 />Srgnat~fe df Corporate UHicer, Uwner, or llestgnee <br />Z>l~ 9~0 <br />Dat~ <br />MiPERMINNASTERDO W MENTS/M-AF-02.DOC <br />