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f?]F -?' PR-r <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Precious Offerings Mineral Exchange, Inc. 1/0 <br />M-1999-074 ? <br />Brown Derby Mine <br />October 20, 2008 <br /> <br />SEP 2 3 2008 r? <br />Divis!o., ?,;tation, <br />Mining ar. d Sa'ety <br />$259.00 (Due on or before your anniversary date) <br />Gunnison <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_tb, 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 map 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 durina the previous year and no <br />new changes to the previous year's may are necessary, then no new may is required, 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: Glynd der <br />Permittee Name: Preciou fferings Min Exchange, Inc. <br />Address: 200 Alder Ln <br />Boulder, CO 80304 <br />Phone Number: (303) 544-1188 <br />Fax Number: (303) 442-3822 <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 form along with your written report and map. Annual Report instructions are <br />enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />Date <br />M:PERMIT\MASTERDOCUMENTS/M-AF-02.DOC