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"o/L <br />~ ~ ,2r~ i ~~~ .;~ <br />ANNUAL FEE and REPORT REQUEST ~~U ~iN~~~~~ <br />/Pws;° ~I„ <br />PERMITTEE NAME: ~ Midas Mining Company, Inc. ` ~iniq °ckNCt ZQ~J <br />PERMIT NO.: ~M-2001-063 9anasaf ty °~ <br />OPERATION NAME: Ophir Lode <br />ANNNERSARY DATE: September 23, 2007 <br />ANNUAL FEE DUE: $$259.00 (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, each yeaz, on the anniversary date of the permit, an <br />_ operator shall submit the annual fee, a report and map showing the extent of current disturbances t9_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 vour revised written annual report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred durinc the previous year and no <br />new chances to the previous year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Anneal Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may suffice for a written 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 />enclo/s~eid. <br />~`~~~ ~ ~ ~ <br />Signatur of Corporate/Officer, Owner, or Designee <br />,~ K A r-re7" ~ ~ ~d D ~ <br />Date <br />/ /d M tN/A!~ OGGCrlZ/~E.(t ZMR~ <br />/306 O,flua/~ nn s,f~ ~y~y/~~'r <br />qn,d GtiG~/Y2cl Tit peira„t q,eea <br />M9 <br />M:~PERMITN1ASTERDOCUMENTS/M-AF-02.DOC <br />