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A~~APPr_ <br />~'c~ <br />ANNTJAT, FF.F, and RF.P1lRT RFL7TJFST <br />PERMITTEE NAME: ,~tdas Mining Company, Inc~~~rY/ RE~EI1/E~ <br />PERMIT NO.: M-2001-063 ~UG 2 2 2005 <br />OPERATION NAME: Ophir Lode <br />ANNNERSARY DATE: September 23, 2005 ~ Division of Miner,;,.,...:. <br />ANNUAL FEE DUE: $225.00 (Due on or before your anniversary date) <br />COUNTY: Hinsdale <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, eaeh_ year, on the anniversary date_of the_ permit, an <br />operator shall submit the atmual fee, a report and map showing the extent of current disturbances 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 yeaz, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written annual red nrt and annnal rep_nrt m ~n 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: Wayne R. Giesy <br />Permittee Name: Midas Mining Company, Inc. <br />Address: P.O. Box 772 <br />Philomath, OR 97370 <br />Phone Number: (541) 929-4170 <br />Fax Number: (541) 929-4174 <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 />~~~,~ <br />Signature f Corporat Officer, caner, or Designee <br /> <br />Date <br /> <br />M:IPERMITIMASTERD000MENTS-AF-02. DpC <br />