2009-11-12_REPORT - M1977215

• Permit No: M1977215
• IBM Index Class Name: REPORT
• Doc Date: 11/12/2009
• Doc Name: Annual Fee/Report/Map
• From: Emerald Mining & Leasing, LLC
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

AF * RPr
ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
r/
Emerald Mining & Leasing, LLC
M-1977-215 .,/
Bulldog Mine Operation
October 31, 2009

NOV 12 2009
DiviWen of Reclamation,
CIP" Mining and Safety
$633.00 (Due on or before your anniversary date)
Mineral
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-a€fected -
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 vour revised written annual report and annual report man to this form. The Annual
Report & Fee requirement is not met until we, have received the following components: fee, report, and
associated may. If no new disturbances or reclamation have occurred during the previous year and no
new changes to the previous vear's map are necessarv, then no new man is required, provided that the
Operator shall state this in the Annual Report. 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: ^lo CNA144ES
Permittee Contact: Brian Egolf
Permittee Name: Emerald Mining & Leasing, LLC
Address: P.O. Box 628
Creede, CO 81130
Phone Number: [phone]
Fax Number:
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.
--ZZL -f- r9'e'--7ze
Sign e of Corporate is , wne , r Designee
Date
M: PERMITIMASTERDOCUMENTS/M-AF-02.DOC