2006-07-21_REPORT - M1994117

• Permit No: M1994117
• IBM Index Class Name: Report
• Doc Date: 7/21/2006
• Doc Name: Annual Fee/Report/Map
• From: Mount Royale Ventures LLC
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

,/ ~S
ANNiiAi. FF.F, and REPORT RF, i(~T
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~/ Mount Royale Ventures, LLC
~M-1994-117
Gold Hill Mill
July 26, 2006
RECE~`~E~
~ 1Ul 212D~
Division of Minerals and Gealo®y
$225.00 (Due on or before your anniversary date)
Boulder
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 durin~the_preceding _year,_new disturbances,that are antir..ipated 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 ymrr revised written anmral report and anneal repprt m,~y to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes: ,
Permittee Contact: Matt Collins
Permittee Name: Mount Royale Ventures, LLC
Address: 9145 Sunshine Canyon Dr.
Boulder, CO 80302
Phone Number:. .[phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosi d.
_ / /7 vts
of tyot~er-dfe Officer, Owner, or Designee
ZD
Date
M:IPERMIl1MASTERD000MENrS/M-AF-02.DOC