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~J-t98z--o~5 <br />ANNTIAT, FFF, and RF,PnRT RF,nTJF,ST <br />,t., ~ s < t~ /~ ~ ~v ~ ~v q c a ; ,u G vr~v Tc t~.c c <br />PERMITTEE NAME: ~ Rocky West Mining Corp. ~ ~ p"y~cG~i A N' G6C ~~ ' <br />PERMIT NO.: M-1982-058 ~m - ~98a - ~~5 R <br />OPERATION NAME: Poorman Mine EC~~ VE~ <br />ANNNERSARY DATE: June 14, 2003 MAY ~~,g_ p~ <br />ANNUAL FEE DUE: $225.00 (Due on or before your anniversary d~ion of lyiRerals and Geplo9Y <br />COUNTY: Clear Creek <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 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 your revised written anm~al rrnnrt and annual red nr m to this form" Please Hole 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: ~ _ ~ 9 Q, a -6 ~ 8, <br />" ` fr Permittee Contact: Alvin Mosch ~ o C' f-~ A cG q,. e"1 i <br />~:=,,i'~~?~:, <br />'= t=~°` <br />.= sa,:Itermittee Name: Rocky West Mining Corp. ry ~" ~ ,r c~.- <br />.~ ~; lr <br />'=t1<ldress: Box 3236 ~q e ~ e ~ r ~ ~ ~ C' /S7 ~u o.~ <br />~v C .~ - ,~ <br />Idaho Springs, CO 80452 S~ItI acc °t/ 1~ U /~-~ <br />- Phone Number: (303) 567-4565 <br />Fax Number: <br />If you have additional comments and/or information that should be provided to the Division, please provide i[ <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />trv~ 1 <br />Signature of Corporate Officer, Owner, or Designee <br />Date <br />/ 7 - G <br />M: W ERM[TIMASTEftDOC UMEMCS/M-AF-02, DOC <br />