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~ ~- RP~- <br />ANNUAL FEE and REPORT REQUEST <br />PERMTTTEE NAME: Camp Bird Colorado, Inc. i/ <br />PERMIT NO.: M-1982-090 <br />OPERATION NAME: Camp Bird Mine <br />ANNIVERSARY DATE: December 7, 2007 <br />ANNiJAL FEE DUE: $$633.00 (Due on or before your anniversary date) <br />COUNTY: Ouray <br />RECEIVED <br />JAN 3 1 2008 <br />Division ur Keclamation, Lj~ <br />Mining and Safety <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 />~gpe~rasha 1 s ~ mIt ~e.~u~I..fee,~-report and mag.sllox!'„ *~~-e~~s~'~~c~-te a°€eeted- - -- <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 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 man is reauired, 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: 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 />Signature of Corporate Officer, Owner, or Designee <br />2`~ Sf~ ~ Z o-0~3 <br />Date <br />M:~PERMIIIMASTERDOCUMENTS/M-AF-02. DOC <br />