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<br />PERMITTEE NAME: <br />PERMIT 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-1977-298 <br />Lumsden Mine Area <br />November 29, 2003 <br />$225.00 (Due on or before your anniversary date) <br />Mesa <br />DEC 0 2 yp03 <br />Division ai Minerals and Geology <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 year, new disturbances that aze anticipated to occur <br />during the upcoming yeaz, reclamation that will be performed during the coming yeaz, the dates for the beginning <br />of active operations, and the date active operations ceased for the yeaz, 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 that clearly 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: Rahe Junge <br />Permittee Name: Umetco Minerals Corporation <br />Address: P. O. Box 1029 <br />Grand Junction, CO 81502 <br />Phone Number: (970) 245-3700 <br />Fax Number: (970) 245-7543 <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 aze enclosed. <br />Signature of Corporate Offi ,Owner, or Designee <br />~/-~.~ d3 <br />Date <br />2754 Compass Drive, Suite 280 <br />Grand Junction, CO 81506 <br />(9701256-8828 <br />M:/PERMII'/MASTERDOCUMENTS/M-AF-01 <br />