2004-05-25_REPORT - M1990057

• Permit No: M1990057
• IBM Index Class Name: Report
• Doc Date: 5/25/2004
• Doc Name: Annual Fee/Report/Map
• From: Leadville Mining & Milling Corp.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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Leadville Mining & Milling Corp.
M-1990-057
Hopemore Shaft
June 18, 2004
MAY 2 5 2004
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~~
RECEIVED
Division of Minerals and Geology
$225.00 (Due on or before your anniversary date)
Lake
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
operator shall submit the annual fee, a report and map showing the extent of cun•ent 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 ynnr revised written annual report and anmral rennrt maTtn 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:
Permittee Contact: J. Scott Hazlitt
Petmittee Name:
Address:
Phone Number:
Fax Number:
Leadville Mining & Milling Corp. C-Q,fl ~ ~4~ ~O ~0 ~/`~a!`~~b/~
N a.w~e. c.t~pia n~Q mF cm r~pa l`p~ert
P.O. Box 552
418 Harrison Ave., Ste. 2
Leadville, CO 80461
[phone]
[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.
Si a ure of Corporate Officer, O , or Designee
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Date
M:NERMITMASTERDOCUMENTS/M-AF-02.DOC