2006-02-06_REPORT - M1977227

• Permit No: M1977227
• IBM Index Class Name: Report
• Doc Date: 2/6/2006
• Doc Name: Annual Fee/Report/Map
• From: MWCA Inc.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNiiAi, FF.F, and REPORT RF.niTFST
~~ MWCA, Iuc.
M-1977-227
Mesita Hill Pit
February 9, 2006
RECE9VE®
~FEB 0 6 2006
%ibivisian of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Costilla
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the_perm_it, an operator~
sbaIl submit the annual fee, a report and map showing the extent of current disturbances to affected land,
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur
during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach xpnr revised written anneal re~nrt and anneal re~nr m}yl to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact:

Permittee Name: MWCA, Inc.
Address: 6500 Mineral Dr., #200
Coeur d'Alene, ID 83815-9408
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
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Signat' e o Corporate Officer, Owner, or Designee
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Date