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'~J <br />PERMI'ITEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Homestake Mining Company <br />M-1977-215 <br />Bulldog Mine Project <br />October 31, 2002 <br />RECEIVED <br />OCT 17100 <br />Division of fdirterals and Geology <br />$550.00 (Due on or before your anniversary date) <br />Mineral <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-shalt-submirthe-annual-fee,-a repo-i and inap showing the extent of current disturbances to affected <br />land, reclamation accomplished [o date and during the preceding year, new disturbances that are anticipated to <br />occur during [he 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 map to this form. Please note chat arc <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Roy R. Cellan <br />Permittee Name: Homestake Mining Company <br />Address: P. O. Box 98 <br />Grants, NM 87020 <br />Alan D. Cox <br />Phone Nu`rziber: `- '(505) 287=4'4'55 - " - <br />Fax Number: (505) 287-9289 <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 instmctions are <br />enclosed. <br />.5~~~~ ~~ <br />Signature of Corporate Officer, Owner, or Designee <br />Date ~~j~6 ~- <br />M:1pERMITIMASTERD000MENTS/M-AF-02.DOC <br />