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~, <br />~~~ ~~~~I~~~~~~~~~~~ <br />999 <br />ANNUAL REPORT <br />cFC t~'f773o \ ~aay'. ~- <br />SEP 2 5 ; _ _ J <br />Division of Kineral~ _ ,,i Gec .3 <br />PERMITTEE NAME: Cripple Creek & Victor Gold Mining Company <br />PERMIT NO.: M-1990-111 <br />OPERATION NAME: Moon Anchor Dump <br />ANNIVERSARY DATE: October 1, 2000 <br />ANNIVERSARY FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Teller <br />According to C.R.S. 34-32-116(3)(a), 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 <br />disturbances to affected land, reclamation accomplished to date and during the preceding <br />year, new disturbances that aze anticipated to occur during the upcoming year, <br />reclamation that will be performed during the coming year, the dates for the beginning of <br />active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual <br />report. <br />Please note that an adequately lnbeled map that clearly delineates. and includes the <br />above elements may suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and pone number <br />in [he space provided: <br />Cripple Creek & <br />Contact Name: Scott A. Lewis Company: Victor Gold Mining Co. <br />Address: P.O. Box 191 Phone No: (719) 689-4041 <br />Victor, CO 80860 Fax No.: (719) 689-3254 <br />If there are additional comments and/or information that should be provided to the <br />Division, please provide i[ on a sepazate sheet and attach it to this report form along with <br />your map and/or written report. <br />--yf~7~,r4~Gt' ~/ Z'~p~j <br />Signature of Corporate Officer. or Owner Date ~ <br />