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PERMTTTEENAME: Camp Bird Colorado,Ine. fiECEIVED <br />PERMIT NO.: M-1982-090 APR 0 4 2006 <br />OPERATION NAME: Camp Bird Mine <br />Division ~f Minerals and GsoloDY <br />ANNIVERSARY DATE: December 7, 2005 <br />ANNUAL FEE DUE: $550.00 (Due on or before your anniversary date) <br />COUNTY: Ouray <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 />an , rec amation accomp fished t'o date a`nd during'tfie preceding'year, new disturbances that a?e'ffnticipated'fo~"-- <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 ynnr revised written anmral repnr and annual report 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: Scott A. Butters <br />Permittee Name: Camp Bird Colorado, Inc. <br />Address: P.O. Box 806 <br />Salt Lake City, UT 84110 <br />Phone Number: (801) 355-7260 <br />Fax Number: (801)521-6400 <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 />~R ~~-~, Pte. <br />Signature of Corporate Officer, Owner, or Designee <br />3 A Pte 20-0 ~ <br />Date <br />M:~PERMINIASTERDOCUMENTS/M-AF-0Z.DOC <br />