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PERMTTTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Homestake Mining Company <br />M-1977-004 <br />Pitch Project <br />April 19, 2006 <br />$550.00 (Due ou or before your anniversary date) <br />Saguache <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 />land, reclamation. accomplished to date and during the preceding year, new disturbances that are anficipated to <br />occur during the upcoming yeaz, 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 your r wised written annul re~nrt and son sl r Pn maTn M 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: Alan D. Cox <br />Permittee Name: Homestake Mining Company <br />Address: 6717-D Academy Rd. NE <br />Albuquerque, NM 87109-3375 <br />Phone Number: (505) 828-1621 <br />Fax Number: (505) 828-1626 <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 />Date <br />M1PF.RMITMASTERD000MENTS/M-AF-02.000 <br />