GENERAL39794

• Permit No: M2004017
• IBM Index Class Name: General Documents
• Doc Date: 6/16/2006
• Doc Name: Faxd annual fee information to operator
• From: DMG msr
• To: Willits Company Inc.
• Permit Index Doc Type: General Correspondence
• Media Type: D
• Archive: No

~-
1Z-SEP-Z003 06:26
FROlhOolorado Dlvieian of Minerals t Gaolop [phone] T-3T0 P.002/002 F-ITT
A~tiu~ ~ Rai k ~ s
PERMITTEE NAME_•
PERh11TNO.~
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
,~1 RECEE~E:~
Willits Compaay, loc. T t
v~i-2ao4on SEP 1.9 2005
KBttenberg Pit - l division of Mine;as u.~ ~wt:~n•
dWy 1, 2003
$68g.00 (Doe on or before your aanlvcrsary date)
Grand
Accocdmg to C1Z.S. 3432.5-i16 or C.R.S. 34-32-116, each year, on the armiversary date of the permit, an
operator shaft submit the annual fee, a report and map showing the e:Rettt of natant dishubancea to atTeokd
land, reclamation accoarplished ro date and during the preceding year. new dianubances that are anticipated ro
occur during the upcoming year, reclamad~ that will he performed during the coming year, the dates for the
beginning of active opasdona, and the date active operations ceased for the year, if any.
plebs aetnrh yenr r,!vkad wrtrtan vneasl ~~ and nnnny) r.mrt map,fq fh:. form- Please note l/lar an
adequately labeled mop rllat dearly delineate and ladudes rile above elemexu may suflrce jot o written
-eporR
Division records indite the following permittee conffict information Please verify and male: arty necessary
changes:
Pramittee Contact Bob Willits _
Pormittce Name: Willits Company, Inc.
Address: P.O. Box 825
Clreyertne, WY 82003
Phone Number: (307) 6342300
Fax Number:
if you have additional wmmertts and/or inforrttation that should be provided to the Division, please provide it
below ce attach it to this forrQ along with your written repoR and rt~p. Atwual Report instructions aro
enclosed 1
-~ ~ St~~~
Signature of Corporate OOSca, Owner, or esignee
~~
M.