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ANNUAL FEE and REPORT REOUEST ZC o <br />PERMTTTEE NAME: Homestake Mining Company <br />RECEIVED <br />PERMIT NO.: M- 1977 -004 <br />OPERATION NAME: Pitch Project APR 1 2012 <br />ANNIVERSARY DATE: April 19, 2012 Division of Reclamation, <br />ANNUAL FEE DUE: $$1,150.00 (Due on or before your anniversary date) Mining & Safety <br />COUNTY: Saguache <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 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 vour 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 may 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: Alan D. Cox <br />Permittee Name: Homestake Mining Company <br />Address: P.O. Box 98 <br />Highway 605 <br />Grants, NM 87020 <br />Phone Number: (505) 2874456 <br />Fax Number: (505) 287 -9289 <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 <br />Date Y//7//2, <br />