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~~ j <br />ANNUAL FEE and REPORT REQUEST ~° ~/ <br />PERMITTEE NAME: /Sunnyside Gold Corp ~ ~ "" ~ ° ~~ <br />PERMIT NO.: t/M-1977-378 ~CJUN 0 4 2001 <br />OPERATION NAME: Sunnyside Gold Mine f~i lion of Reclamation, <br />v Mining and Safety <br />ANNIVERSARY DATE: June 10, 2007 <br />ANNUAL FEE DUE: $$550.00 (Due on or before your anniversary date) <br />COUNTY: Sau Juan <br />According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an <br />-- _operator sfia11 submit the annual-fee,-a repor-f ana irtap sfiowing the e~ant of current'disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <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 vour revised written annual report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred durin¢ the previous year and no <br />new chanties to the previous year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />• delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Larry Perino <br />Permittee Name: Sunnyside Gold Corp <br />Address: #1 <br />P. O. Box 177 <br />Silverton, CO 81433 <br />Phone Number: <br />Fax Number: <br />(970)387-5533 <br />(970)387-5310 <br />(~~o~ 38~ - 54,5' <br />t'93-o) 3~,~-- ~'ys3 <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. , ,t <br />• Signature of orate Officer, weer, or Designee <br />~~ Z ov ~- <br />Date 1 <br />M: W E RMI'1\MAS7ERDOCUMEMS/M-AF-02. DOC <br />