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~~ ~-~ ~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Comstock Mining & Refining - ~ <br />GPG1( 1988-081 <br />Phil Sheridan Lode <br />August 19, 2005 <br />$75.00 (Due on or before your anniversary date) <br />Boulder <br />0 ~~C <br />jfi! ~d~~ <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 showine 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 ym~r revised written anneal rennrt and anneal renrnrt man 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 permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Raymond "Rocky" Conner <br />Pennittee Name: Comstock Mining & Refining <br />Address: P.O. Box 841 <br />Silver Springs, NV 89429 <br />I'hanei~tTfi~ber:- "(775)'230=5523 - <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 />r!~~,-- <br />Si a re o orporate Officer, Owner, or Designee <br />g- l~' C>S- <br />Date <br /> <br />,~ <br />~~~~ov~~ <br />AlAl7 ! ~ 1/Anr <br />M:~PERMITMASTERDOCUMEMS/M-AFA2.DOC <br />