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,~~ ~~/ <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />L1Qew Smuggler Mine Company <br />~iVI-1995-097 <br />Smuggler Mine <br />January 14, 2008 <br /> <br />~~ <br />_, ~~~ <br />_.,-,.- <br />~_ . <br />f `~ .~ <br />'/ <br />~ti''::i3~ ... - <br />$$259.00 (Due on or before your anniversary date) <br />Pitkin <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 your revised written annual report and annual report man 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 man are necessary, then no new map is reauired, 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: Gary A. Wright <br />Permittee Name: New Smuggler Mine Company <br />Address: 715 W. Main St., Ste. 201 <br />Aspen, CO 81611 <br />Phone Number: (970) 925-5625 <br />Fax Number: (970) 925-5663 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or a ch 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 />C a ~ Vu rw <br />Date ~ ~ ~ ~ ~ ~ c+) <br />~} <br />M:~PERMIIIMASTERDOCUMENTS/M-AF-02.DOC <br />