Laserfiche WebLink
~ ; ~P ~ <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />l Bachelor Silver Mines Company <br />~A~I-1980-171 <br />Bachelor Syracuse Mn <br />March 25, 2007 <br />-~ ~~{VED <br />~ i .:. L 6 2~0~ <br />D. .. ~ ~~ Reclamation, <br />mtuiaty and Safely <br />$$225.00 (Due on or before your anniversary date) <br />Ouray <br /> <br />__ Accordine to C.R.S. 34-32.5-116 or C.R.S._ 34-32-116, each year,.on the anniversary date of the Hermit, an _ __ <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <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 vour revised written annual report and annual renort maH to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, renort, and <br />associated map. If no new disturbances or reclamation have occurred durinc the previous veer and no <br />new chances to the Hrevious year's maH are necessary, then no new maH is required. Hrovided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Carl F. Dismant <br />Permittee Name: Bachelor Silver Mines Company <br />Address: P.O. Box 965 <br />Ouray, CO 81427 <br />Phone Number: (970) 325-4665 <br />Fax Number: <br />~~ ~l , <br />~~/1 i <br />OK. <br />/1/ha. <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below r attach it to this form along with your written report and map. Annual Report instructions are <br />enc ed~%/~~/~ ,~ <br />/~/ f <br />Signature of Corporate Officer, Owner, or Designee <br />~-~~ -o <br />Date ~ <br />M:~PERMI'IIMASTERDOCUMENTSMf-AF-02.DOC <br />