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ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Sunnyside Gold Corp <br />PERMIT NO.: M-1977-378 <br />OPERATION NAME: Sunnyside Gold Mine <br />ANNIVERSARY DATE: June 10, 2009 <br />ANNUAL FEE DUE: $633.00 (Due on or before your anniversary date) <br />COUNTY: San Juan <br />REC~~VEb <br />JUN 0 5 2009 <br />Division. of Reclamation, <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 />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 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 durinE the previous vear and no <br />new changes to the previous vear'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 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: Larry Perino <br />Permittee Name: <br />Address: <br />Phone Number: <br />Sunnyside Gold Corp <br />P.O. BOX 177 <br />Silverton, CO 81433 <br />(208) 583-2511 <br />Fax Number: (208) 583-2516 <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 />Signa of Corporate Officer, Owner, or Designee <br />~.,~.,.,,e '3 . ~, v o <br />Date <br />M: ~PERMITIMASTERDOCUMENTS/M-AF-02.DOC <br />