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<br />RECEIVE® <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Walker Mining & Milling <br />M-1979-181 <br />Ruby Trust Mine <br />September 1, 2004 <br />$225.00 (Due on or before your anniversary date) <br />Ouray <br />SEA 0 2 2004 <br />Division of Mi~,..rals & Geology <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 aocomphshe~lc to date andauring t- r~ a p~ecedmg year, new-distu-Ur ances th'aCare 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 ym~r revised written annual rennrt and annual re~nrt main, 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: Dave Walker <br />Permittee Name: Walker Mining & Milling <br />Address: P.O. Box 650532 <br />Vero Beach, FL 32965-0532 <br />Phone Number: (561) 465-7840 <br />Fax Number: <br />/l/o .~Jc~ut/ y o.v ,~Anfd <br />0 .P 1~ t .vim , <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 />ignature of Corporate Officer, Owner, or Designee <br />~/~s/o ~/ <br />Date <br />M:WERMITU4ASTERDOCUMENTS/M-AF-02. DOC <br />