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/mar <br />B -Mining Company <br />M-1986-102 <br />Deep Creek Placer <br />September 4, 2004 <br />RECEIVE® <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE; <br />ANNUAL FEE DUE: <br />COUNTY: <br /> <br />SEP 0 7 Z00~ <br />Division of Minerata aa~ <br />$281.00 (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 <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year; reclamation that will`be performed during the coming year;-the-dates-for-the beginning=_ _~ <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach ymn• revised written anneal report and anneal re~nrt m to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the 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: Michael Moore and <br />Permittee Name: B -Mining Company <br />Address: Mr. Daniel L. Collins, Owner <br />P. O. Box 326 <br />Phone Number: <br />Fax Number: <br />Nucla, CO 81424 <br />(970) 864-7814 <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 />ignature of Corp rate Officer, Owner, or Designee <br />(,(~LOIn IT~~~ <br />Dat~ <br />