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<br />,°-ed <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Shalako International Inc <br />~ M-1981-185 <br />t~ May Day Mine <br />September 5, 2006 <br />R~CE~~ED <br />'CEP 0 5 2006 <br />r/bivision of Reclamation, <br />Mining and Safely <br />$225.00 (Due on or before your anniversary date) <br />La Plata <br />N>~C <br />According to C.R.S. 34-32.5-I 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 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 maa 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: John H. Ferguson <br />Permittee Name: Shalako International Inc <br />Address: P.O. Box 2030 <br />Durango, CO 81302 <br />Phone Number: (970) 249-2279 <br />Fax Number: (970) 387-5764 _ <br />4'Ib - S 2 S- 2.2 z ~ `~~~ <br />[f 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 />MiPERMI7IMASTERDOCIJIvfENTS/M-AF-02.DOC <br />