Laserfiche WebLink
u~w <br />RECEfVED <br />tiDEC t 42005 <br />Division of Minerals and Geology <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Michael Browning <br />M-2003-072 / <br />Wet Canyon Mine <br />December 19, 2005 <br />$281.00 (Due on or before your anniversary date) <br />Las Animas <br />shalt submit the annual Yee, a report and map showing the extent of current tlrsturbaitces to attested Land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written anmral report and anneal re nn rt main to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following petmittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Michael Browning <br />Permittee Name: Michael Browning <br />Address: 16503 CR 31.9 <br />P.O. Box 93 <br />Weston, CO 81091 <br />Phone Number: (719) 868-3621 <br />Fax Number: <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 enclosed. <br />Signature of Corporate Offtcer, Owner, or D signee <br />Date <br />