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- <~~ <br /> <br />~/ ANiV11Al, FEF'. and REPf)RT RF.n11F'S"1' <br />PI~.ItMffTLh: NAME: `~ Indian Springs Mining <br />PIiRMI'1' NO.: ~M-1981-020 <br />OPI[IL~'fIUN NAME': Phorsen Minc <br />ANNIVIiRSARY DATE: May 6, 20¢~g <br />RECEIVED <br />~ MAY' 0 3 2006 <br />1i' Division of Minerela and Gealopy <br />ANNUAL FEE DUE: $281.00 (Due on or before your anni~~ersary date) <br />CUUN~I'Y: Fremont <br />_ ^.-~~.~.::~~±in_ tu.C.F,.S..34.32,5-6.16.or_G.R.S...34-32- ~ ! ,, ....ch.vea~ •,n= he ;;nnF...,, :Taro.:,, ;he pern;n. ~~n oj.r-~a~:-~a•~ -- <br />shall submit the annual fee, a report and mxp showing the extent of current disturbances io aflccied lunci, <br />reclamation accomplished to date and during the preceding year. new disnirhances that are anticipated n, uc~ur <br />during the upcoming year, reclamation that will be performed during the coming year, the daces tier the beeinnin~~ <br />of nciis•c operations, and she date active operuiuns ceased Ibr the year, if any. <br />Please attach ynnr revised written annual rennet and anmial rennet map to this Tnrm Please nom ~b<n ~m <br />udec~uureh~ lahelcd mop shut clearly delinecrres and includes the above elements may st~f/ice fir a irrit~rn repon. <br />Division records indicate the following permittee contact information. Please verify and make any ncec;;an <br />chances: <br />Prrmittre Contacr~- Carling Henry <br />Perminee Name: Indian Springs Mining <br />Addles: 32~? CR 67 <br />Penrose, CO 81240 <br />- Phone :ti'umber: (7191 ?72-3907 _ _, __ <br />1 ar Number. % <br />If you hgve additional comments and/or information that should be provided to the Division, please provide ii <br />below or attach it'to this fprm along with your written report and map. Annual Report instructions are enclosed. <br />i <br />G~/ ../A~'~J ~Y~.-1L~J C~' ~ <br />Siutanuc of Corporate Ofti r, Owner' r D nee ~~~ ~~ <br />- ~'- ! -_ <br />lia<< <br /> <br />