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it <br />?? ,: <br />ANNtTAL FEE and DEPORT REQUEST 0 2010 <br />Divisi¢tn of ROG?. <br />WhV snd Y <br />PER. MITTEE NAME Rocky West Mining Corp. <br />PERMIT NO.: 1r-1982-458 ` <br />OPERATION NAME: Footman Mine <br />ANNIVERSARY DATE: June 14, 2010 <br />A1.q -AL-FE&DUE . - $8259i00`(Dire:6 orl efoe our anntveRa ate - - - <br />COiJNTY:. Clear Creek <br />According to CA ;S; 34-32.5-116 or C.R;S. 34-32-11b, each year, on the anniversary date of the permit, an <br />-oper4t6r.shall submit the annual .fee,_a_report_and,map_shawing the extent,Qf-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 malt to this form. The Annual <br />Report &,Fee requirement is not IneY un#1 we,hav ; o received the following cotnponents: fee, report and <br />ssQociated man_. Tf no new tlicturhsenr4m or rwrA4n%satinn haves nrrnrrs+d dnrina„the nravinne'vaar and. nn <br />Operator shall 'state this. in the_ Annual Report.. Please note the ran adequately labeled map that clearly <br />delineates and includes the above eleinents mgy,?sufce for a written report: <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Alvin MOSC4, <br />Permittee Name: Rocky West Mining Corp. <br />Address, P.O. Box 3236 <br />Idaho Springs, CO 84452 <br />c3ly 2,2 <br />Phone Number: (303) 56744" <br />Fax Number: <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 Corporate Officer, Owner, or Designee