2005-06-14_REPORT - M1982058

• Permit No: M1982058
• IBM Index Class Name: Report
• Doc Date: 6/14/2005
• Doc Name: Annual Fee/Report Notice
• From: rocky west mining corp
• To: dmg
• Media Type: D
• Archive: No

RE~~\~~O
05
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Rocky West Mining Corp.
M-1982-058
Poorman Mine
June 14, 2005
JAN 1 qti~ ,,,~
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$225.00 (Due on or before your anniversary date)
Clear Creek
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
operator shall 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; npw.distucbances. 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 ynnr revised written annnal report sod annnal reTnrt morn 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 petmittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Alvin Mosch
Permittee Name: Rocky West Mining Corp.
Address: Box 3236
Idaho Springs, CO 80452
Phone Number: [phone]
Fax Number:
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.
G=~~G1~i ~y ~
Signature of Corporate Officer, Owner, or Designee
- 1-Oj
Date
M iPERM n1MASTERD000MEN'1'S/M-AP-02.DOC