REP06731

• Permit No: M1984013
• IBM Index Class Name: Report
• Doc Date: 5/2/2002
• Doc Name: 2002 Annual Report
• From: George E. Otten
• 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:
i
ANNUAL FEE and REPORT REQUEST
George E. Otten
M-1984-013
Mackey Mine
May 14, 2002
RECEIi/ED
MAY 01 ~
Division of Minerals and GeolaDY
$225.00 (Due on or before your anniversary date)
Gilpin
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
--operator-shall-submirthe-anlnat-fee; a reporrarrd'map'shawing the extentbf currenrdisturbancesto-affected
land, reclamation accomplished to date and during the preceding year, new disturbances [ha[ 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 vour revised written annual report and annual renort mau to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: George E. Otten
Permittee Name: George E. Otten
Address:
t -

_ Phone Number:
Fax Number:
`~7d-'755-.2S-i8
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.
tgna ur f Corporate Officer or Owner
=/-~z
Date
M:~PERMTMASTERDOCUMENTS/M-AF-02.DOC