Laserfiche WebLink
<br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEENAME: DGMC RECEIVED <br />PERMIT NO.: M-1986-076 DEC 0 6 2002 <br />OPERATION NAME: Incas Mine <br />Division of Minerals and Geology <br />ANNIVERSARY DATE: December 31, 2002 <br />ANNUAL FEE DUE: $450.00 (Due on or before your anniversary date) <br />COUNTY: La Plata <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 />_ _ operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected _ _ <br />land, reclamation accomplished [o 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 [he <br />beginning of active operations, ahd the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report mao 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 />Permit[ee Contact Jim Bender <br />Permittee Name: DGMC <br />~ u~ ea~-- <br />Address: Rd. 5467 #31 <br />_. _ Phone Number: <br />Fax Number: <br />Famungton, NM 87401 <br />(505) 632-1276 _ <br />i~~ w <br />~i oS-.32 ~ ` ~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 />ignature of Corporate fficer, Owner, or Designee <br />~~S ~o~ <br />Date <br />M:SPERM]7UTASTERDOCUMENTS/M-AF-02.DOC <br />