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ANNUAL FEE and REPORT REQUEST RECEIVED <br />PERMITTEE NAME: Battle Mountain Resources, Inc. MAR 2 3 2012 <br />PERMIT NO.: M- 1988 -112 Division of Reclamation, <br />OPERATION NAME: San Luis Project Mining & Safety <br />ANNIVERSARY DATE: March 23, 2012 <br />ANNUAL FEE DUE: $$1,150.00 (Due on or before your anniversary date) <br />COUNTY: Costilla <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 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: kamLyle - <br />LArQege_6 1c�sKE <br />Permittee Name: Battle Mountain Resources, Inc. <br />Address: P.O. Box 310 <br />Phone Number: <br />Fax Number: <br />San Luis, CO 81152 -0310 <br />(719) 379-0798 <br />(719) 379 -0713 <br />If you have additional comments and /or information that should be provided to the Division, please provide it <br />below or attach iUo this form along with your written report and map. Annual Report instructions are <br />enclos <br />Signature of Corporate Officer, Owner, or Designee <br />0 22 Mh2 2012 <br />Date <br />M .\PERMIT\MASTERDOCUMENTS/M -AF -02 DOC <br />