REP02586

• Permit No: M1990147
• IBM Index Class Name: Report
• Doc Date: 2/12/2000
• Doc Name: ANNUAL REPORT
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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ANNUAL REPORT
PERMTTTEE NAME: Jack Pine Mining Company
PERMPT NO.: M-1990-147
OPERATION NAME: Mendota Properties
ANNNERSARY DATE: February 12, 2000
ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00
COUNiCY: Clear Creek
•
>~. '~ °®
RECEIVED
prvrsron of Minetats & Geology
According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an
operator shat submit the annual tee, a report and map showing the extent of current disturbances
to affected land, reclamation accomplished to date and during the preceding year, new
disturbances [hat are anticipated to occur during the upcoming year, reclamation that will be
performed during [he coming year, [he dates for [he beginning of active operations, and the date
active operations ceased for the year, if any.
Please attach vour revised annual reuort man and written report to this annual report
Please note that cur ndegnately lnbe[ed map that clearly delineates and rne[udes the n6ove
elements may suffice for a written report.
~o« lto~o fhc er~ina.l r,-tap.w~Z%o~ ~ws nod bcer! r~v'SUd
NO Work hps ..{-rLrt~~ srn~•'~ ~ttlrua.ry l2 /~~y
Please type or pant the currenfscbntact person s name, marling address/and phone number in the
space provided: // / // .~.~ 1
%hG JY1epOv~"a, / s k rrar {taSYJGCN Ge-~~//rte%• /naG7 r /'~.
ContactName:~v~~ WATA'aus Company:Sst-G.~ ri~Y6 P1ti/'ti/G Co,
Address: 1~ o. Y3 o x 6 ~ Phone No.: (303 ) 5 G 7- ~ 3 5 a
Lc~ rim{-i o S'nri rs~i i G d • FAX No.: ( )
R o ~-{S.Z
If there are additional comments and/or information that should be provided [o the Division,
please provide it on a separate sheet and attach it to this report form along with your map and/or
written report.
~~ .~ ~ 7 .2 O-o --O
Signatut of Corporate Officer, orb Date
INSTRUCTIONS ON BACK
M WERMFMIASTERDOCUMENTSMI-AF-02 OOC