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~ ~-~~ <br />P$RMTCI'EE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Umetrn Minerals Corporation <br />M-1977-294 NOII 2 2 2004 <br />Rajah 30 <br />Division of Miracnk; & Gealagq <br />December 1, 2004 <br />$225.00 (Due on or before your anniversary date) <br />Mesa <br />~~~~~~ <br />~~ <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 amtual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accorttplished 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 />Planes attorh ynnr rwviawl written annual rennrt and anneal rennrt 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: Rohe Junge <br />Permittee Name: Umetco Minerals Corporation <br />Address: 2754 Compass Dr. Ste. 280 _ <br /> Grand Junction, CO 81506 <br />Phone Number: (970) 25b-8828 <br />Fax Number: (970) 245-7543 <br />If you have additional comrttents 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 />Suture ~3icer, Owner, or Designee <br />Date ~ <br />M:WFRMITMASfSRDOCUMF]VTSM1•AF-02.DOC <br />