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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REOUEST <br />V MWCA, Inc. <br />f M-1977-227 <br />Mesita Hill Pit <br />p-CEIV <br />,/ FEB 0 9 2011 <br />A) Division of (reclamation, <br />„% Mining and Safety <br />February 9, 2011 <br />$791.00 (Due on or before your anniversary date) <br />Costilla <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 />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <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 your revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous -year and no new changes to <br />the previous year's map are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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: Paul L. Glader <br />Permittee Name: MWCA, Inc. <br />Address: 6500 Mineral Dr., #200 <br />Coeur d'Alene, ID 83815-9408 <br />Phone Number: (208) 769-4112 <br />Fax Number: (208) 292-5512 <br />If you have additional comme is and/or information that should be <br />below or attach ' o this long with your written report and map. <br />Signature of Corporate O icer, Owner, or Designee <br />2 <br />Date <br />provided to the Division, please provide it <br />Annual Report instructions are enclosed.