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1111111111111111111 <br /> 999 <br /> ANNUAL REPORT <br /> PERMITTEE NAME: Sunnyside Gold Corp �`C, <br /> PERMIT NO.: M-77-378 <br /> OPERATION NAME: Sunnyside Gold Mine <br /> ANNIVERSARY DATE: June 10, 1999 <br /> ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 9 <br /> COUNTY: San Juan <br /> According to C.R.S. 34-32-116(3)(a), 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 <br /> to affected land, reclamation accomplished to date and during the preceding year, new <br /> 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 your revised annual report map and written report to this <br /> annual report. Please note that an adequately labeled map that clearly delineates and <br /> includes the above elements may suffice for a written report. <br /> Please type or print the current contact person's name, mailing address, and phone number in the <br /> space provided: <br /> Contact Name: LiN rz,Z" I'r ra i N c' Company: 2gAj ly 4 s,�&,T C;v <br /> Address: -�Cl 13-1 Phone No.: ( 9 o ) 3v 5533 <br /> " I (�LMb3To1yiE Fax No.: ( '1*o 53io <br /> SIL�, 3'2--r0yV P1433 <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 /> d <br /> Signature of Corporate Officer, or Owner Date <br /> INSTRUCTIONS ON BACK <br />