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r <br /> <br />R~ i- Q~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />B -Mining Comp/any <br />M-1986-102 t/ <br />Deep Creek Placer <br />September 4, 2007 <br />RECEIVED <br />SEP 18 2007 <br />Division of Reclamation, <br />Mining and Safety <br />$$323.00 (Due on or before your anniversary date) <br />San Miguel <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 operator I <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date aid durin8th. _e preceding yeat~new dis~bances that are anticipate t4~occur <br />during the upcoming yeaz, reclamation that will be performed dunng the coming year, the dates for the beginning I <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />maa. If no new disturbances or reclamation have occurred durin¢ the previous Year and no new changes to <br />the previoas year's maa are necessary, then no new map is required, provided that the Ouerator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Daniel L. Collins <br />Permittee Name: B -Mining Company <br />Address: 1417 S. Grandview Dr. <br />Tempe, AZ 85281 <br />Phone Number: (480) 894-6211 <br />Fax Number: <br />Ce.~ : y~4'~ - 204- 203 <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 enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />~~~. 2 , 2.~a~ <br />Date <br />