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<br />.A *r ?'e-r <br />ANNUAL FEE and REPORT REOUEST <br />PERMITTEE NAME: Bachelor Silver Mines Company <br />PERMIT NO.: <br />J M-1980-171 <br />CdV?. <br />v// MAR 25 2010 <br />ReGlafaSUO", <br />OPERATION NAME: Bachelor Syracuse Mn G/, (? Mining 910010il ofing ? S?f?aFy <br />??ll <br />ANNIVERSARY DATE: March 25, 2010 <br />ANNUAL FEE DUE: $259.00 (Due on or before your anniversary date) <br />COUNTY: Ouray <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-shull-submitthe-annual-fee; a=report and-map-showing--the-extent of-current distur-banes-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 man 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 changes 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 map 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: Carl F. Dismant <br />Permittee Name: Bachelor Silver Mines Company <br />Address: P.O. Box 965 L- <br />Ouray, CO 81427 ' <br />Phone Number: (970) 325-4665 L <br />Fax Number: <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 />enclosed. (' Stu%rba14 CC- - Qr-e.CQ <br />)j p t:2 ta? <br />(3 '?) V. l'1 ?lC't-J?'L <br />Signature of Corporate Officer, Owner, or Designee 0 , Z?)r a?'?- i ?? Cw+ 1 <br />CC-ill ro /I <br />Date <br />M:IPERMITIMASTERDOCUMENTS/M-AF-02.DOC