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~~~ ~P~ <br />ANNUAL FEE and REPORT REQUEST ~~(;~I~~~ <br />PERMITTEE NAME: Ducommun Business Trust ~~~ ,I~~I ~ 7 ZOOS ~ <br />PERMIT NO.: M-1985-029 ~ Division at ~teciamation,./ <br />Mining and Safety <br />OPERATION NAME: Alma Placer Mine <br />ANNIVERSARY DATE: February 22, 2008 <br />ANNUAL FEE DUE: $$633.00 (Due on or before your anniversary date) <br />COUNTY: Park <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 />- - ____~nperator-shall-submit the annual €ee; a-r-eport-and-map-she.~~ingthc exte,~t of current-disturbancc~ 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 your revised written annual report and annual report man 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 during the previous year and no <br />new changes 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 suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Paul Ducommun <br />Permittee Name: Ducommun Business Trust <br />Address: P.O. Box 461 <br />Monument, CO 80132 <br />Phone Number: (719) 481-2276 <br />Fax Number: (719) 481-2277 <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 />enclo <br />Signature of Corporate Officer, Owner, or Designee <br />~/~ aao ~ <br />Date <br />M:IPERMITIMASTERDOCLJMENTS/M-AF-02. DOC <br />