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<br />6j7 -J- RPM <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE and REPORT RE UEST <br />Rocky West Mining Corp. v <br />M-1982-058 L,/ <br />Poorman Mine <br />June 14, 2008 <br />ANNUAL FEE DUE: $$259.00 (Due on or before your anniversary date) <br />COUNTY: Clear Creek <br />?, 2406 <br />M,nin9' ands ` ate <br />l? <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 />- -operator-shall-submit the-annual fees a-report and-map-showing-the extent 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 during the previous year and no <br />new changes to the previous vear's map are necessary, then no new may 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: Alvin M h <br />Permittee Name: Rocky West Mining Corp. <br />Address: P.O. Box 3236 <br />Idaho Springs, CO 80452 <br />Phone Number: (303) 567-4565 <br />Fax Number: <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 IV O T 47 - <br />0 Z_ <br />Date <br />n-Lc°?.SC. U <br />N <br /> <br />d <br />M:\PER 4rF\MASTERDOCUMENTS/M-AF-02.DOC