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,i~, <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />B3E~°fP~;°E® <br />ANNiiAI. FF.F, and RF.PnRT RF.(]iTF.ST <br />Central City Consolidated Mng <br />M-1990-041 <br />Bates-Hunter Mine <br />July 13, 2004 <br />JUN 2 3 2004 <br />Division at Mine: cls ~ Geology <br />$225.00 (Due on or before your anniversary date) <br />Gilpin <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 />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 />r~ <br />Please attach y mn• revised written annual ~p~nn and annual report maw to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written <br />report. <br />Division records indicate the following pemuttee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: George E. Often <br />Permittee Name: Central City Consolidated Mng <br />Address: C/o Hunter Gold Mining Corp <br />11438 Weld County Rd.19 <br />Fort Lupton, CO 80621 <br />Phone Number: (970)785=2538 <br />Fax Number: <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 />_~._..~ <br />-- <br />Signature o C orate Officer, Owner, or Designee <br />~' - ~. Z ~ <br />Date <br />