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<br />AJw <br />PERMITTEE NAME: Michael Browning G i~ <br />PERMIT NO.: M-2003-072 DEC 14 ZU04 <br />OPERATION NAME: Wet Canyon Mine <br />Division of Minafals /y Gaolagy <br />ANNIVERSARY DATE: December 19, 2004 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Las Animas <br />Accordingto 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 <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />-`°" during the upcoming year;-reclamation that-will be performed during the coming year, the datesfor the-beginning - <br />ofactive operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written annual rennrt and annnal re~nrt main to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Michael Browning <br />Permittee Name: Michael Browning <br />Address: <br />Phone Number: <br />16503 CR 31.9 <br />P.O. Box 93 <br />Weston, CO 81091 <br />(719) 868-3621 <br />Fax Number: <br /> <br />` _. _IIyouu hay~3ddi+innal rnmma n~°~ndler-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 enclosed. <br />i ature of Co porate Officer, Owner, or a ignee <br />Date <br />