2017-03-24_REPORT - M1980171

• Permit No: M1980171
• IBM Index Class Name: REPORT
• Doc Date: 3/24/2017
• Doc Name: Annual Fee/Report/Map
• From: Bachelor Silver Mines Company
• To: DRMS
• Annual Report Year: 2017
• Email Name: THM
• Media Type: D
• Archive: No

Page 5 of 5
Division records indicate the following permittee/landowner contact information(blank fields indicate that we do not have
information on record). If this information is blank or not current,please type or print current contact information:
Permittee Contact: Carl F. Dismant
Permittee Company: Bachelor Silver Mines Company
Address: P.O. Box 965
Ouray,CO 81427
Phone Number: [phone]
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Fax Number: `
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Email Address:
Permitting Contact: Carl Dismant
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Company: Bachelor Silver Mines Company
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Address: 325 5th St
P.O. Box 965
Ouray,CO 81427
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Phone Number: [phone]
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Fax Number:
Ale/1 L
Email Address:
Inspection Contact: Carl Dismant
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Company: Bachelor Silver Mines Company
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Address: 325 5th St
P.O. Box 965
Ouray, CO 81427
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Phone Number: [phone]
Fax Number:
Email Address:
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.
Signature of Permittee,Corporate Officer,Owner,or Documented Designee Date
M-AF-02