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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Indian Springs Mining <br />M-1981-020 <br />Thorsen Mine <br />May 6, 2003 <br />RECE11/Fp <br />APR 101003 <br />Division of Minerals and 6e <br />~' <br />$281.00 (Due on or before your anniversary date) <br />Fremont <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 operator <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach ym~r revised written anneal re~nrt and annual tenor} m ~n to this form. Please note that an <br />adequately labeled map that clearly 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: Carling Henry <br />Permittee Name: Indian Springs Mining <br />Address: 3257 CR 67 <br />Penrose, CO 81240 <br />_Phone Number: (719)-372-3907 - <br />Fax Number: /(~~/% <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 f rm alo,~ng~with~yyour written report and map. Annual Report instructions are enclosed. <br />of Corporate <br />or <br />Date <br />C~ <br />M:~PERMITNIASTERDOCUMENTSUI-AF-01 <br />