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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Bachelor Silver Mines Company <br />M-1980-171 <br />Bachelor Syracuse Mn <br />March 25, 2006 <br />$225.00 (Due on or before your anniversary date) <br />Ouray <br />MAR 2 4 2006 <br />~I JI5~...~ ,.. uu..ci u:a e. uCJ1u JY <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written anneal report and anneal rennrt main to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact Carl F. Dismant <br />Permittee Name: Bachelor Silver Mines Company <br />Address: P.O. Box 965 <br />Ouray, CO 81427 ~t cs <br />Phone Number: (970) 325-4665 tJ, e s <br />Fax Number: /~/a~~-- <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />Signa re of Corporate Officer, Owner, or Designee <br />~~ ~~ <br />Date <br />M:IPERMI'IUTASTERDOCUMEM$/M-AF-02.DOC <br />