2005-06-01_REPORT - M1977378

• Permit No: M1977378
• IBM Index Class Name: Report
• Doc Date: 6/1/2005
• Doc Name: Annual Fee/Report Notice
• From: sunnyside gold corp
• To: dmg
• Media Type: D
• Archive: No

:_...
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Snnnyside Gold Corp '
M-1977-378
Sunuyalde Gold Mine
June 10,2004
$550.00 (Due on or before your anniversary date)
Saa Jaan
~~
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
.operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach ynnr revised written anon 1 report and annnal report m~^ thic form Please Hole that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following petmittce contact information. Please verify and make any necessary
changes:
Permittee Contact: Larry Perino
Permittee Name: Stttmyside Gold Cotp
Address: #i Gladstone
P. O. Box 177
Silverton, CO 81433
~`
Phone Number: [phone]
Fax Number. [phone]
If you have additional comments and/or infornation that should be provided to the Division, please piovide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
Signa f Corporate Officer, Owner, or Designu;
Date
M:WHRMIMIASIERDOCUMENTS~M-AF-0't.DOC