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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Walker Mining & Milling <br />M-1979-181 <br />Ruby Trust Mine <br />September 1, 2003 <br />BiuiSion ~f Minerals and Geology <br />$225.00 (Due on or before your anniversary date) <br />Ouray <br />RECEI~/ED <br />AUG 2 9 2003 <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 />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 yonr revised written anneal report and anneal report map to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Dave Walker <br />Permittee Name: Walker Mining & Milling <br />Address: 3007 S. Indian River Dr. <br />P.O. Box 639 <br />For[ Pierce, FL 34954 <br />Phone Number: (561) 465-7840 <br />Fax Number: <br />- ---__=s- -- - - -_ - <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. <br />t~. ~~ <br />Signature of Corporate Officer, Owner, or Designee <br />~~~~/o~ <br />Daie <br />M:IPERM/TiMASTERW' CUMENTS/M-AF-02.DOC <br />