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~'cc~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />(/ANNUAL FEE and REPORT REQUEST <br />/DGMC <br />l~ M-1986-076 <br />Incas Mine <br />December 31, 2006 <br />~~_l~ D.6 <br />~~~JOtJ 13 2006 <br />~ Division of keclama4ion, <br />Mining and Safely <br />$$450.00 (Due on or before your anniversary date) <br />La Plata <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 />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 maa to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, resort, and <br />associated mau. If no new disturbances or reclamation have occurred durinti the arevious vear and no <br />new chanties to the previous year's maa are necessary, then no new maa is required, provided that the <br />Oaerator shall state this in the Annual Resort. 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: Jim Bender <br />Permittee Name: DGMC <br />Address: 5529 US Hwy. 64 <br />Farmington, NM 87401 <br />Phone Number: (505) 325-4065 <br />Fax Number: (565j-334.L1422 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or ~ch it to this form along with your written report and map. Annual Report instructions are <br />Corporate Officer, Owner, or Designee <br />~t~ !0 <br />Date <br />M:IPERMITVNASTERDOCUMENTS/M-AF-02.DOC <br />