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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />International Uranium (USA) Corp. <br />M-1981-021 <br />West Sunday <br />May 29, 2003 <br />RECEd VED <br />MAY 2) 2003 <br />Division ~f Minerals and Gealosy <br />$550.00 (Due on or before your anniversary date) <br />San Miguel <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-submiCthe annual-fee,' areport-and-map showing the~xtent-of currenrdisturbances'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 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 <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Terty V. Wetz <br />Permittee Name: International Uranium (USA) Corp. <br />Address: Independence Plaza, 950 <br />1050 17th St. Ste.950 <br />Denver, CO 80265 <br />Phone Number (303) 628-7798 <br />Fax Number: (303) 389-4126 <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 />~~v;d c.F.ra«(.~.d <br />Sign re of Corporate Officer, Owner, or Designee <br />Yice Presicle~fi ~ Cre•re,o~CoN~sc <br />Date <br />M:~PERMINNASTERDOCUMENTS/M-AF-02. WC <br />