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<br />r <br />AN AL FETE and REPORT REQUEST <br />PERMITTEE NAME: Bad Boys of Cripple Creek Mining Co. Inc. <br />PERMIT NO.: ?M-1996-081 I <br />RECEIVE <br />LJ/UN 29 2009 <br />Division of Reclamation, <br />4-0 Mining and Safety <br />OPERATION NAME: Bad Boys Pit <br />ANNIVERSARY DATE: June 27, 2009 <br />ANNUAL FEE DUE: $$259.00 (Due on or before your anniversary date) <br />COUNTY: 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 />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 b orme -during the coming yeas-the daTe-sfor the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach Your revised written annual renort 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 chances 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: Davi ) <br />1am <br />A <br /> <br />Permittee Name: , <br />re <br />Bad Boys of Cripple Creek Mining Co. Inc. <br />Address: 261 E. Bennett Avenue <br /> P.O. Box 66 <br /> Cripple Creek, CO 80813 - -`" ' - "- <br />Phone Number: (719) 689-2982 <br />Fax Number: (719) 689-2982 <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 />encl?d. f\ <br />Si mire of Corporate Officer, OWnYr, or Designee <br />6? /1 L 160) <br />Date <br />M:\PERMIT %4ASTERDOCUMENTS/M-AF-02.DOC