2005-10-13_REPORT - M1999074

• Permit No: M1999074
• IBM Index Class Name: Report
• Doc Date: 10/13/2005
• Doc Name: Annual Fee/Report/Map
• From: Precious Offerings Minerals Exchange Inc.
• To: DMG
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
!Precious Offerings Minerals Exchange, Inc.
JM-1999-074
Brown Derby Mine
October 20, 2005
RECEIVED
~`~OCT i 3 2005
`~Uivision of Minerals one ~eoloAY
$225.00 (Due on or before your anniversary date)
Gunnison
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
operator shall submit the annual Fee, a report and map showing the extent of current disturbances to affected
- land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach ynnr revised written annnal re~nrt and annnal report main fn this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Glynda Yoder
Permittee Name: Precious Offerings Minerals Exchange,
Address: 200 Alder Ln.
Boulder, CO 80304
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
7~ ~~'~/1
Signet of Corpor fficer, Owner, or Designee
~o~ia~~~
Dale
M:~PERM~TUTASTERDOCUMENTS/M-AF-02.DOC