Laserfiche WebLink
io ~y ~y <br />~'.5 N <br />ANNUAL FEE and REPORT RE(?VEST <br />PERMTTTEE NAME: Mining and Minerals, Ltd. <br />PERMIT NO.: M-1983-052 <br />OPERATION NAME: Joker Mine <br />ANNTJERSARY DATE: September 1, 021~0~ <br />ANNUAL FEE DUE: $550.00 (Due on or before your anniversary date) <br />COUNTY: Moffat <br />According to C.R.S. 3432.5-116 or C.R.S. 3432-116, each yeaz, o:n the anniversary date of the permit, an <br />-- - - operatorshallsubmit-tlte-annual-fee;-a-t~eport--and map showing the t:xtent_of current disturbances_toaffected- _ <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 frrc the year, if any. <br />Please attach vour revised written annual resort and annual reomk mao to this form. Please none that an <br />adequately labeled map that clearly delineates and includes the alcove elements may since for a written <br />report. <br />Division records indicate the following permiUee contact information.. Please verify and make any necessary <br />changes: <br />Permittee Contact: Barbara R. Chalmers <br />Permittee Name: Mining and Minerals, Ltd. <br />Address: 8115 Preston Rd #680 <br />Dallas, TX 75225 <br />Phone Number:-- -(214) 691=2032- - - " <br />Fax Number: (214) 691-7886 <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 aze <br />enclosed. <br />4~ <br />Signature of Corporate Officer, Owner, or Designee <br />/a - a7-:J f~ <br />Date <br />