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vl<-, <br />bMk <br />9XII <br />AN A FEE and RILL REQUEST <br />RECEIVED <br />OR' 0 7 7011 <br />,DiW of Revoma <br />utth9 i Zof*, <br /> ? <br />NAME: <br />PERMITTEE Cyi'pple Creek & Victor Gold Minin Compan <br />g y <br />PERMIT NO.: '1-1980-244 <br />OPERATION NAME: Cresson Project <br />ANNIVERSARY DATE: April 9, 2011 <br />ANNIVERSARY FEE DUE: $1,150.00 (Due on or before your anniversary date) <br />COUNTY: Teller <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 <br />permit, an operator shall submit the annual fee, a report and map showing the extent of current <br />disturbances to affected land, reclamation accomplished to date and during the preceding year, <br />new disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual report may to this form. The <br />Annual Report & Fee requirement is not met until we have received the following <br />components: fee, report, and associated map. If no new disturbances or reclamation have <br />occurred during the previous year and no new changes to the previous year's map are <br />necessarv. then no new map is required, provided that the Operator shall state this in the <br />Annual Report. <br />Please note that an adequately labeled map that clearly delineates and includes the above <br />elements may suffice.for a written report. <br />Division records indicate the following permittee contact infonnation. Please verify and make <br />any necessary changes: <br />Contact Name: Timm Comer <br />Address: P.O. Box 191 <br />100 North Third Street <br />Victor, CO 80860 <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />Cripple Creek & <br />Company: Victor Gold Mining Co. <br />Phone No: (719) 689-4055 <br />Fax No.: (719) 689-3254 <br />i ature of Corporate Officer, or Owner Date