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AF t- R-Rr <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REOUEST <br />fN uvemco, LLC <br />V41d-1978-222-UG <br />Monogram Mines <br />March 1, 2010 <br /> <br />MAR 012010 <br />L/ M n of kecwmawn, <br />MhhV and Sa* <br />$1,150.00 (Due on or before your anniversary date) <br />Montrose <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 may 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 map are necessary, then no new map 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: <br />Permittee Name: <br />Address: <br />Phone Number: <br />Fax Number: <br />Henry M. Carter <br />q,j 52-)1Q- <br />Nuvemco, LLC <br />10771-3200 Road <br />Hotchkiss, CO 81419 <br />(970) 872-3247 <br />Loso Ln? k.ly-1 NlO_ . <br />PiWQ. c co 23-qy3-Mlo W 3A <br /> <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 />enclos <br />Si ature of Corporate Officer, Owner, or Designee <br />_c2 -09-aoib <br />Date <br />M: \PERMITAW TERDOCUMENTS/M-AF-02.DOC