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<br />ANNUA&EE and REPORT REQUEST <br />n <br />u <br />nt Royale Ventures, LLC <br />PERMITTEE NAME: z <br />PERMIT NO.: M-1994-117 <br />OPERATION NAME: Gold Hill Mill 7 ` <br />ANNIVERSARY DATE: July 26, 2008 <br />ANNUAL FEE DUE: $259.00 (Due on or before your anniversary date) <br />COUNTY: Boulder <br />Og <br />and 3, align <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 fee, 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 retort 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 vear's map are necessarv, 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: Matt Collins <br /> <br />Permittee Name: Mount Royale Ventures, LLC <br />Address: P.O. Box 19754 <br />Phone Number: <br />Fax Number: <br />Boulder, CO 80308 <br />(303) 570-62690, ??5 •?? <br />(720) 565-3497 x.0 rJ ?o rJ , 3 ` g <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 />Date <br />M:IPERMITIMASTERDOCUMENTS/M-AF-02.DOC