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`?A <br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />COUNTY: L "PF <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />ANNAL FEE and REPORT REQUEST <br />Ducommun Business Trust <br />-1985-029 <br />Alma Placer Mine <br />5AC.FIVED <br />11 <br />JN 14 2009 <br />Division of Reclamation <br />.? Mining and Safety <br />February 22, 2009 <br />$$633.00 (Due on or before your anniversary date) <br />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 />---operator-shall submit the-annual fee, a relzort 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 your 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 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 />encl e <br />tign'ature of Corporate Officer, Owner, or Designee <br />? / '?- C-; ? <br />Date <br />M:IPERMI TIMASTERDOCUMENTS/M-AF-02. DOC