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^C * Or <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Emerald Mining & Leasing, LLC <br />PERMIT NO.: M-1977-215 c, <br />OPERATION NAME: Bulldog Mine Operation <br />ANNIVERSARY DATE: October 31, 2008 <br />ANNUAL FEE DUE: $$633.00 (Due on or before your anniversary date) <br />COUNTY: Mineral <br />sEP ?Do <br />12008 <br />iWhi„ ? c7nd szl3`Z6 <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 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 your revised written annual report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous -year and no <br />new chances to the previous year's map are necessary, then no new map is required. provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled snap that clearly <br />delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Brian Egolf <br />P n??r ?r <br />Permittee Name: Emerald Mining & Leasing, LLC _ <br />Address: P.O. Box 628 <br />Creede, CO 81130 <br />Phone Number: (719) 658-0506 <br />C-71-7 S? - oSIP6 <br />Fax Number: p l e a5e /! p f?? l ?•? s <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 />enclo / <br />Signatur Corporate Officer, a esi ee <br />Date <br />M:\PERMIINMASTERDOCUM ENTS/M-AF-02.DOC