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A, A r- 1, 9- Pr <br />ANNUAL FEE and REPORT REOUEST <br />IL" <br />Elmo Nossaman FMNYIM <br />PERMITTEE NAME: <br />PERMIT NO.: M-1982-020 APR 2C 3 2010 <br />OPERATION NAME: Sooner Lucky Strike Mine Ltd Division cr i-(vdamaffion, <br />ANNIVERSARY DATE: May 25, 2010 Mining and Saft y <br />ANNUAL FEE DUE: $259.00 (Due on or before your anniversary date) <br />COUNTY: Gunnison <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 />_v <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 your revised written annual report and annual report may 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: Elmo Qssaman <br />Permittee Name: Elmo NossaWan no work at mine except <br />clean up & matntenance. No amation <br />Address: P O Box 15449 done. Hope to run mill in 2010 <br />Oklahoma City, OK 73135-5449 <br />Phone Number: (405) 736-1019 <br />Fax Number: (405) 741-1215 <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 orporate Officer, Owner, or Designee <br />4-21-10 <br />Date <br />M:\PERMITIMASTERDOCLJMENTS/M-AF-02.DOC