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J l~- <br />RECEIVED <br />ANNUAL FEE and REPORT REQUEST <br />~u~ ~ a Zoo2 <br />Division of Minerals and Geology <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE; <br />COUNTY: <br />Bad Boys of Cripple Creek Mining Co., Inc. <br />M-1996-081 <br />Bad Boys Pit <br />June 27, 2002 <br />$225.00 (Due on or before your anniversary date) <br />Teller <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 />- - operatorshaU-submit ihe-annual-fee,,-a report-and-map showing~the-ertent-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. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />~Ad, ~ <br />Permittee Contact: GmaeK'raham <br />Permittee Name: Bad Boys of Cripple Creek Mining Co., Inc. <br />Address: P.O. Box 66 <br />Cripple Creek, CO 80813 <br />Phone Number: (719) 689-2982 <br />Fax Number: (719) 689-2982 ~ ~I <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 repots and map. Annual Report instructions are <br />enclosed. <br />owl r~„J ~~`°~ <br />Signature of Corp ate Officer or Owner <br />/t~~b <br />Date <br />M: WERMRNIASTERDOCUMENTS/M-AF-02.DDC <br />