2005-07-21_REPORT - M1990057

• Permit No: M1990057
• IBM Index Class Name: Report
• Doc Date: 7/21/2005
• Doc Name: Annual Fee/Report/Map
• From: leadville mining and milling corp
• To: dmg
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNTIAT. FF.F, and RF,PORT RF.nTTFST
/Leadville Mining & Milling Corp.
//M-1990-057
Hopemore Shaft
June 18, 2005
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1)ivisio K!
n nt Mineia/s and Geo)egY
$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 current disturbances to affected
land, reciamation 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 attac~ynnr revised written annual re~nrt and annual report m to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: J. Scott Hazlitt
Permittee Name: Leadville Mining & Milling Corp.
Address: P.O. Box 552
418 Harrison Ave., Ste. 2
Leadville, CO 80461
Phone Number: [phone]
Fax Number: (303) 48(i-3000

If you have addifional comments and/or information that should be provided to the Division, please provide it
below or attach it [o this form along with your written report and map. Annual F.eport instructions are
enclosed.
of Corporate Of~ce~, Owner, or Designee
M:NERMIIIMASTERDOCUMENTS/M-AF-02.DOC