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V <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />Mount Sneffels Mining Company, LLC <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-shal-l-submit-the-annual fee; a report-and-map-showingthe-extent ofcunvnt distarbances-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 durine 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 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: Keith Emmett <br />Permittee Name: <br />Address: <br />Phone Number: <br />Fax Number: <br />If you have a i <br />below or a <br />enclosed. <br />Signakdre of'Coll <br />? 1`110 <br />Date <br />318 South Scenic Hwy., Ste 104 <br />Lake Wales, FL 33853 <br />(863) 676-3322 <br />(863) 676-4179 <br />A17 * VT <br />ANNUAL FEE and REPORT REQUEST <br />Mount Sneffels Mining Company, LLC <br />M-1979-181 <br />Ruby Trust Mine <br />September 1, 2010 <br />,/ pw232MV <br />?j Divi n ct Rzci-?on, <br />t/ Uning tnd ly <br />J <br />a t , d <br />Division of Reclamation <br />Joining & Safety , <br />$259.00 (Due on or before your anniversary date) <br />Ouray <br />and/or information that should be provided to the Division, please provide it <br />ng with your written report and map. Annual Report instructions are <br />RECEIVED <br />Officer, Owner, or Designee <br />AUG 2 3 2010 ? <br />Division of Reclamation, <br />Mining & Safety <br />M:IPERMIIIMASTERDOCUMENTS/M-AF-02.DOC