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ANN A FEeand REPORT REQUEST <br />?Eli/ED <br />RF <br />PERMITTEE NAME: 'Central City Consolidated Mng <br />-4-1990-041 uL 13 2010 <br />PERMIT NO.: <br />OPERATION NAME: Bates-Hunter Mine @IVI%Ion of Reclamation, <br />mining & safety <br />ANNIVERSARY DATE: July 13, 2010 <br />ANNUAL _EEE_DUE_ -S$259.00 . (flue-on-or_beforeyouur-anniversar-y-d te-)-- - - - <br />COUNTY: <br />Gilpin <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 vour 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: George E. Otten <br />Permittee Name: Central City Consolidated Mng <br />Address: C/o Hunter Gold Mining Corp <br />11438 Weld County Rd. 19 <br />Fort Lupton, CO 80621 <br />Phone Number: (970) 785-2538 <br />Fax Number: (970) 785-6248 <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 />Signature of Co orate Officer, Owner, or Desit?Ilee_ <br />7 /z- Zvl y <br />Date <br />M:\PERMIT\MASTERDOCUMENT S/M-AF-02. DOC