REP17848

• Permit No: M1977004
• IBM Index Class Name: Report
• Doc Date: 4/29/2004
• Doc Name: Returned Annual Report and Fee Request
• From: DMG
• To: Homestake Mining Company
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Homestake Mining Company
M-1977-004
Pitch Project
April 19, 2004
$550.00 (Due on or before your anniversary date)
Saguache
APR 2 9 2004
Division of Minerais & Geology
__-_ _ ~Acc9rdine toCR•S• X32.5-116_or C.R_5.-3432-116, each year, on,the anniversary date of the permit, an
operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach ymrr revised written anneal rennet and anneal re oP rt mgp to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Pennittee Contact: Alan D. Cox
Permittee Name: Homestake Mining Company
Address: 6717-D Academy Rd. NE
Albuquerque, NM 87109-3375
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
Signature of Corporate Officer, Owner, or Designee
Date
M:~PERMIIIMASTERDOCUMEN'1'S/M-AP-02.DOC