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COLORADO <br /> Division of Reclamation, <br /> Mining and Safety <br /> Department of Natural Resources <br /> 1313 Sherman St. Room 215 <br /> Denver,l CO 80203 <br /> May 1,2017 <br /> Marcie Jaeger <br /> Red Arrow Gold Corporation in Receivership <br /> 1425 Market Street,Suite 225 <br /> Denver,CO 80202 <br /> Red Arrow Dome,Permit P-2009-018,Annual Fee Invoice and Report Request <br /> PLEASE READ CAREFULLY—ACTION REQUIRED <br /> Please attach your COMPLETED written Annual Report and Annual Report Map to this form <br /> Under the terms of your NOI and Colorado Statutes, you must submit an Annual Fee and Annual Report <br /> (including a map). You must pay the Annual Fee and submit an Annual Report each year until reclamation <br /> responsibility release is granted. The Annual Fee is not a renewal fee. The Fee and Report are for LAST YEAR'S <br /> exploration and reclamation season,and MUST be paid even if your operation was inactive. <br /> The Annual Report and Fee requirement will be considered submitted when we have received the <br /> following components: <br /> 1. ANNUAL FEE($86) <br /> 2. COMPLETED ANNUAL REPORT <br /> 3. ASSOCIATED MAP as required by rule <br /> If you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safety <br /> ("Division")but your permit is not released by the anniversary date listed below,the Annual Fee MUST be paid. <br /> If the permit is released before the anniversary date,then by Statute,it is not necessary to pay an Annual Fee or <br /> submit an Annual Report for that year. Division records indicate the $86.00 fee is due for the following NOI(s) <br /> on or before the Anniversary Date: <br /> Permit: P-2009-018 <br /> Operation Name: Red Arrow Dome <br /> Anniversary Date: June 24,2017 <br /> Total Fee Due: $86.00(Due on or before your anniversary date) <br /> Return the enclosed Annual Report FORM, a MAP, and a CHECK or MONEY ORDER made payable to: <br /> Division of Reclamation,Mining and Safety, 1313 Sherman St.,Room 215,Denver,CO 80203. If your records <br /> indicate these documents and fees have already been submitted,please notify the Division. <br /> -oFco�. <br /> 1313 Sherman St. Room 215 Denver,CO 80203 P (303)866-3567 F <br /> John W. Hickenlooper, Governor I Robert W. Randall, Executive Director I Virginia Brannon, Director <br /> *1876 <br />