2015-10-08_REPORT - M2012052

• Permit No: M2012052
• IBM Index Class Name: REPORT
• Doc Date: 10/8/2015
• Doc Name: Annual Fee/Report/Map
• From: CC&V
• To: DRMS
• Annual Report Year: 2015
• Email Name: TC1
• Media Type: D
• Archive: No

Page 5 of 5
Division records indicate the following permittee contact information. If this information is not current, please type or print
current contact information:
Permittee Contact:
Chris Hanks
Permittee Company:
Cripple Creek & Victor Gold
Mining Company
Address:
100 N 3rd Street
P 0 Box 191
Victor, CO 80860
Phone Number:
[phone]
Fax Number:
[phone]
Email Address:
� Q�,iJ�? CpA4-(
1, the and rsi ed, hereby
being co u4ed in accord
of
NI -AF -02
that the information provided in this report is true and accurate, and that site operations are
with the Division approved mining and reclamation plans.
Owner, or Documented Desienee
to