Laserfiche WebLink
the,-' <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />/ Urralburu Mining Company <br />/M-1977-501-UG <br />Marietta Mine <br />February 15, 2007 <br />~.._ <br />0~12~ <br />RECEIVED <br />/ FEB 12 2007 <br />/division of Reclamation, <br />1/ Mining and Safety <br />$$225.00 (Due on or before your anniversary date) <br />San Miguel <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~ubmit the_annual_fee,_aSaport 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 vear and no <br />new chanties 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 since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Benedicto Urralburu <br />Permittee Name: Urralburu Mining Company <br />Address: 205 N. Willerup Ave. <br />Montrose, CO 81401 <br />Phone Number: (970) 249-5208 <br />Fax Number: <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. /J C'~~Zd~ <br />~~/!~ Q~ / <br />Signature of Corporate Officer, Owner, or Designee `' `~ / w' ~ul-' G'~~ <br />~.~~ ~ d 0 d 7" ~ ~ne~e <br />Date <br />M.IPERMITMASTERD000MF,NTS/M-AF-02.DOC <br />