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i ~~, <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Battle Mountain Resources, Inc. <br />M-1988-112 <br />San Luis Project <br />March 23, 2002 <br />$1,000.00 (Due on or before your anniversary date) <br />Costilla <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 [he preceding year, new-disturbances [fiat are anticipated [o <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 your revised written annual report and annual resort map to this form. Please note that an <br />ac{equately labeled map that clearly delineates and includes the above elements may suffice 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: Aauid-beFrg <br />Permittee Name: Battle Mountain Resources, Inca <br />Address: P.O. Box 310 <br />San Luis, CO 81152-0310 <br />Phone Number. (719) 379-0798 <br />Fax Number: (719) 379-0713 <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 />Signature of Corporate Officer or Owner <br />Dale <br />M:NERM17 VdASTERDOCUMENTS/M-AF-02. DOC <br />