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9 `' <br />FC,r,_ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Reclamation Resources, Inc. <br />M-1985-029 <br />Alma Placer Mine <br />February 22,2004 <br />°~~s-o ~~ti ~`Fo <br />of ~O~ <br />~,c~ ~ <br />eis~ <br />ndCBp~ <br />s~. <br />$550.00 (Due an or before your anniversary date) <br />Park <br />According to C.R.S. 34-32.5-]16 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 />land, reclamation accomplished to date and during the pfeceding y~aP,"new dtsturbances 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 />Pleace attach vnur revised written annnal report and annual re~nrt maT to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since 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: Dennis L. Docommun <br />Permittee Name: Reclamation Resources, Inc. <br />Address: P. O. Box 848 <br />303 CR 520 <br />Phone Number: <br />Fax Number: <br />Fraser, CO 80442 <br />(970)726-5388 <br />(970)726-0714 <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 />Signature of Corporate Officer, Owner, or Designee <br />/~,~.,,,,,,~ 2D 2 0 0 `~ <br />to ' <br />M:~PEAMITMASTERDOCUMENI'S!M-AP-02,DOC ~r~, <br />r1 <br />