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~~~~ ~ <br />ANNUAL FEE and REPORT REQUEST <br />RECI~-1/~D <br />PERMITTEE NAME: 'Bad Boys of Cripple Creek Mining Co., Inc. ~JU~ Q $ 207 <br />PERMIT NO.: '~M-1996-081 ~Dfvision of keca~ggyfgyy~ <br />OPERATION NAME: Bad Boys Pit M"uo9~!' ' <br />ANNNERSARY DATE: June 27, 2007 <br />ANNUAL FEE DUE: $$225.00 (Due on or before your anniversary date) <br />COUNTY: Teller <br />---'~Cccarding-to~:R:5-3#=3-2:5=1-16-arC-.P~:S..34-'-~z--l o;~aed;-year-on-theanrrlversary-date_oLthe_permit,~*+ -- <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 />occur during the 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 vour revised written annual report and annual report man to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred durine the previous vear and no <br />new changes to the previous year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Davi Graha <br />~~ <br />Permittee Name: Bad oys of Cripple Creek Mining Co., Inc'. <br />Address: P. O. Box 66 <br />Cripple Creek, CO 80813 <br />Phone Number: (719) 689-2982 <br />Fax Number: (719) 689-2982 <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 aze <br />enc14`s ~d. 1 _ <br />gn re o orporate Officer, caner, or Designee <br />M: W ERMI71MAS7ERDOCUMENTS/M-AF-02.DOC <br />