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<br />ANNUAL FEE and REPORT REQUEST <br />ta~ ~ ~'•:' 'i- ~ ,) <br />PERMITTEE NAME: Urralburu Mining Company <br />PERMIT NO.: M-1977-501-UG MAR 1 ~ 2004 <br />OPERATION NAME: Marietta Mine Dirision of Minerzl. _.,, n,;mont <br />ANNNERSARY DATE: February 15, 2004 <br />ANNUAL FEE DUE: $225.00 (Due on or before your anniversary date) <br />COUNTY: 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 submit the annual fee, a report and map showing the extent of current disturbances to affected <br />--' - -tadd; reclamation accomplisbed~o dale an8 during the prece~m`g year, new-Ic Disturbances YI at are anricipated Yo <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 mau to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Benedicto Urralburu <br />Pennittee Name: Urralburu Mining Company <br />Address: 205 N. Willerup Ave. <br />Montrose, CO 81401 <br />Phone Number: (970) 249-5208 <br />Fax Number: <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 enclosed. <br />As per our telephone conversation of last week <br />~ ~//LZ'~~~~, we have no packet or maps ~o submit. Nothing <br />:°iy 'G ~ has been done for several ears and because of <br />Signature of Corporate Officer or Owner health problems and weather the property has <br />not been ompleteLy°cleaned. All machinery is <br />~3'-~- ~tj~~ out anus been i;pspeetedeby;~the inspector~._,o <br />Date from D rango. As soon as weather permits the <br />final work will be done. I want to finish so <br />I can get a release and no longer have to pay <br />the yearly fee to the State. This year"s fee <br />has been paid on time and we have the canceled <br />check. <br />