2010-04-19_REPORT - M1977004

• Permit No: M1977004
• IBM Index Class Name: REPORT
• Doc Date: 4/19/2010
• Doc Name: Annual Fee/Report/Map
• From: Homestake Mining Company
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

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ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME: Homestake Mining Company
PERMIT NO.: M-1977-004 mmarv"
OPERATION NAME: Pitch Project t_?gPR 19 2010
ANNIVERSARY DATE: April 19, 2010 Din Gt '?xlvnw&a.
ANNUAL FEE DUE: $633.00 (Due on or before your anniversary date
COUNTY: Saguache
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, 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 your revised written annual report and annual report may to this form. The Annual
Report & Fee requirement is not met until we have received the following components: fee, report, and
associated map If no new disturbances or reclamation have occurred durine the previous year and no
new chanzes to the previous year's map are necessary, then no new map 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:
Permittee Contact: Alan D. Cox
Permittee Name
Address:
Phone Number:
Fax Number:
Homestake Mining Company
P.O. Box 98
Highway 605
Grants, NM 87020
[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.
Signature of Corporate Officer, Owner, or Designee
Jo
Date
M:PERMITIMASTERDOCUMENTS/M-AF-02.DOC