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l <br />~~~ : . ,, <br />8NA'ilA[. FN:F, and RF.PEIRT RF.()iTF.ST - <br />OCT 2 2 ?D04 <br />rmtntn-r~>s Nnrs: }iomeekoke Mta~B company <br />~, <br />PERMIT NO.: M-1977-215 Oirisian of i ;roar <br />OPERATION NAME: Bulldog Mine -rnject <br />ANNIVFiRSARYDATE: Octohcr31,3BB3~! 2~~g' <br />ANNUAL, FEE DUE: SS50.00 (Dnc on or be[ore yunr anniversary date) <br />4Y)LJNTY: Mineral <br />Accooding_IO.S..R.S. 34-3Z5-116.nr_C:.RS~34~2-116..macL.year, on_theaztpjvFts~y.daL~ o~;th4_prmtit, an <br />opeaator shall submit the annual fee, a report and.map showing the extent of current disttnbances to affected <br />land, reclamation ecarmpliahad to data end during the preceding year, new duW~boncca tLak arc mlicipntcd b <br />occur dttriag the tq~coming year, reclamation that will be perfortrnxl during the coming year, the dates for the <br />beginning of active operations, and the date active operations eased far the yeaz, if any. <br />Pkaa aMaa.h irtvr ~rv1s~ nv aanaL~m_rt and annvat ~rn,.N ma_p !n lhi. fnrm. f'/ease aOte tiro! as <br />adequately IaLeled map that clera•!y delinrntes and inclrtd2s the above elemerw may su,~rce for a written <br />report. <br />Uivuiuu rewrdn Italic~tlc dw atltnwtng peTIIItItL•C 4cmrHC[ infaSIDallotL PICi15C Verify aaa make 0ny necessary <br />CLIaIIgrS: <br />Yermittea Contact: Alan D. Cox <br />Permittee Name: Homesteke Mining Compaq _ ,_ <br />Address: Q P.O. Box 98 .~ __- ~~ ~ . ._ <br />Crants,NM 87020 r~---------- e~.~R }tAyY-9Qy' __ ,_ <br />Phone Number: (505) 287-4456 ~6pAn <br />Fax Numiwr: (505) 287-9289 ~- iJ~ <br />tt you have additional commenu andlor information than shonta tx: provided to the uivision, please provide rt <br />below or attach it to this forth along with your written report and map. Annual Lteport iastmctiohs are <br />enetoscd. <br />~. ~,~ <br />Signature of Corporate OlFicer, Owncy or Ihsigncc <br />/d L ~3 <br />Hate -..... <br />/yy~..... ~• ~~ <br />® /~~tgsE ~vaT2r' THRZ- THE ~rtPA~/)"d <br />6FF/OE /iuFaR.+')t4TrON /~ ~aRR6c7. <br />u:uzoot:• ?HE tyYY1G OrF/cF lr/ f/LBaS,w~1~~~ <br />W QS cLdSE D E,oRt tfR TICS 1/E;'oR' <br />