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~ III IIIIIIIIIIIII III <br />ANNUAL REPORT <br />PERMITTEE NAME: Indian Creek Mining Corp. <br />PERMIT NO.: M-1991-054 <br />OPERATION NAME: Proffitt <br />ANNNERSARY DATE: May 29, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $75.00 <br />COUNTY: Saguache <br /> <br />RECEIVED <br />MAY 182000 <br />Division of Minerals &GeOlogy <br />According to C.R.S. 34-32-1 l6(3)(a), each year, on [he anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming year, the dates for [he beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual report. <br />Please nae shat rut ndequntely labeled map !ha! clearly delnteutes and includes the above <br />elements may since for a written report. <br />Please type or print the current contact person's natne, mailing address, and phone number in the <br />space provided: <br />Contact Name: ~0l1/ ~~j C~,tiTsc~f <br />Address: ,tJo~ 3 y 2 <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />~~-Ala-~+^-t,:. <br />Signature of Corporate fficer, or Owner <br />INSTRUCTIONS ON BACK <br />M:WF.RMITNtASTERD000M ENTS/A1-AF-0? DOC <br />Company: <br />FAX No.: ( ) <br />S--/ S'- rra <br />Date <br />/y0 /} <br />