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ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />C W Bunker & Company <br />M-1977-448 <br />St Patrick Mine <br />April 11, 2002 <br />~tECE1VE~ <br />MAY 2 2 200'1 <br />}ivision of Minerals and Geology <br />$225.00 (Due on or before your anniversary date) <br />Montrose <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of [he permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />-- --1and,-reclamation-accomplished-to-date-and-during-the-preceding-year,-new-disturbance~ that-arc anticipata~ [o' -- -_ , _ <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 maa to this form. Please note that an <br />adequately labeled map that clearly delineates anti includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permit[ee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Michael Moore <br />Permittee Name: C W Bunker & Company <br />Address: P.O. Box 326 <br />Nucla, CO 81424 <br />Phone Number: (970) 864-7814 <br />- Fax Number: ~ ^ i <br />If you have additional comments and/or information that should be provided to the Division, please provide i[ <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />~, S tom, w~ , S I~-/h e ~c~ !^ ~ ~ lr~ <br />Corporate Officer or Owner <br />v <br />M:SPERMC7IMASTERD000MENTS/M-AF-02. DOC <br />