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~~ <br />/ ANWITAi. Fi~F. and RFPnRT RF.QiTF_CT <br />PERMITTEE NAME: '~ Miuing and Minerals, Ltd. <br />PERMPI' NO.: ~ M-1983-052 <br />OPERATION NAME: Joker Mine <br />ANNIVERSARY DATE: September 1,-2005 ,?DOG ~ v <br />~~~Z <br />~~o-w-~ I <br />RECEIVED <br />'~ .~F~ ~ 4 ~n~s <br />~'~'sfOn of Reclamation, <br />Mining and Safety <br />ANNUAL FEE DUE: $550.00 (Dote on or before your anniversary date) <br />COUNTY: Moffat <br />According to C.R.S. 3432.5-116 or C.R.S. 3432-116, each year, on the anniversary date of the permit, an <br />--. -- operator shag submit the simual~~Rrep9rt and maTo show_ng_thr extentof~uaent~isturbances 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 />begimting of active operations, and the date active operations ceased for the year, if any. <br />Please attach Xpnr revised written anneal Ypport aml anneal rennrt man in thi¢ fnon_ Plevse note that an <br />adequately labeled map that cleorly 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 trmke any necessary <br />changes: <br />Permittee Contact: Barbara R Chalmers <br />Permittee Name: Mining and Minerals, Ltd. <br />Address: 8115 Preston Rd, Ste 680 <br />Dallas, TX 75225 <br />-' FAane I~a~er:`--`(2t4)-691-_2032 -- - <br />Fax Number. (214) 691-7886 <br />L` 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 insttvctions are <br />enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />.mss 9 ~G oG <br />>~~ <br />~. ~.a~ <br />