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• r � n <br />Fft and REP( <br />PERMITTEE NAME: <br />TM- 2003 - 072 ichael Browning <br />PERMIT NO.: <br />OPERATION NAME: <br />Wet Canyon Mine <br />ANNIVERSARY DATE: <br />December 19, 2009 <br />ANNUAL FEE DUE: <br />$$323.00 (Due on or before your anniversary date) <br />COUNTY: <br />Las Animas <br />�� RECBIVED <br />POEC 15 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 operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />- = ------- -dze6ng- the- upcom.ing.-year, rpc.lamati.on._th will performed during th coming year, the dat for the beg inning_ ^_ <br />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 may to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and n o new changes to <br />the previous year's map are necessary, then no new map is required, provided that the O perator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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 />n ) e <br />Permittee Contact: Michael Browning <br />Permittee Name: Michael Browning <br />Address: 16503 CR 31.9 <br />P.O. Box 93 <br />Weston, CO 81091 <br />Phone Number: (719) 868 -3621 <br />Fax Number: <br />If you have additional comments and /or information that rovide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corporate Officer, Ow o Designee <br />ic2— -/U O <br />Date <br />