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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />WF7 <br />ANNUAL FEE and REPORT REOUEST <br />(?/ <br />`/ B - Mining Company <br />M-1989-068 <br />Centennial <br />September 27, 2010 <br />R,CO D <br />t/ AUG 3 0 2010 <br />Division oi Kfijciamation, <br />t+Aining and Safaty <br />CP $518.00 (Due on or before your anniversary date) <br /> <br />San Miguel <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 />operatorshall submit"the_annual _fee,_aa-eport 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 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: Michael Moore <br />Permittee Name: B - Mining Company - 4) L ?u <br />Address: 27745 W. 5th Avenue ?? o - <br />P.O. Box 326 <br />Nucla, CO 81424 <br />Phone Number: <br />Fax Number: <br />(970) 864-7814 <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. <br />Z. J '- I ?-' <br />ign re of Corporate Officer, Owner, or Designee <br />?7 2,016 <br />Date <br />M:\PERMIT "TERDOCUMENTS/M-AF-02.DOC