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I 9� <br /> ANNUAL FEE and REPORT REO LIEST <br /> ECEIVED <br /> PERMITTEE NAME: Reclamation Resources, Inc. JAN 3 12001 <br /> PERMIT NO.: <br /> Oivi ion of Minerals and Geology <br /> OPERATION NAMEA{ma Placer.Mine <br /> ANNIVERSARY DATE: February 22, 2001 <br /> AN.Vl1AL FEE DUE: S550.00 (Due on or, before your anniversam dateb <br /> (O )NTY Park <br /> According tU C.R.S. 34-32.5-116 or (.'.R.S 34-3'-110, vavh year. aii the anniversary ate of the permit, an <br /> operator shall submit the annual fee. a report and map showing the extent of current di turhances to affected <br /> land. reclaration accomplished to date and during the preceding pear, new disturbances hat are anticipated to <br /> occur during the upcoming year, reclamation that will he pertormed during the coming ear, the dates for the <br /> beginning of active operations. and the date active operations ceased for the year, it any <br /> Please attach our revised written annual re sort and annual report map to this form Please note their an <br /> adeyuateh, laheled mitp that clearly delincate.c and includes the chore elements mat.• euffire for a written <br /> report . <br /> Divismm records indicate the following permittee contact information. Please verify and make any necessary <br /> changes. <br /> Perurttee Contact: Ronald H. Thompson —_ <br /> Pk: *"ittee Name- Reclamation Resources, Inc <br /> Addre� C70 Thompson & Zall LLC _ <br /> 720 S Colorado Blvd., Ste. 1200S <br /> Denver. CO 80:22-1904 <br /> Phone Number: (303)691-97)0 ----� - _Fax Number (303)691-9701 <br /> if you have additional comments and/or infornation that should he provided to the D please provide it <br /> below or attach it to this fnnn along with your written report and map. Annual �•.pe t instnictians are <br /> enclosed, <br /> Signature of Corporate Officer or Ow net <br /> -?l <br /> ate <br /> \t':F•c R.M.1 T.b:A$iFR NT I,IAIF N I YA4-if 4i U�)i 1 <br /> �!1 <br />