2016-03-22_REPORT - M1988112

• Permit No: M1988112
• IBM Index Class Name: Report
• Doc Date: 3/22/2016
• Doc Name: Annual Fee, Report and Map
• From: Battle Mountain Resources, Inc.
• To: DRMS
• Annual Report Year: 2016
• Email Name: WHE
• 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:
Lawrence Fiske
Permittee Company:
Battle Mountain Resources, Inc.
Address:
P.O. Box 310
San Luis, CO 81152-0310
Phone Number:
[phone]
Fax Number:
[phone]
Email Address:
[e-mail]
I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in accordance with the Division approved mining and reclamation plans.
03/17/2016
Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date
M -AF -O2