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<br />f i='T <br />ANNUAL FEE and REPORT REQUEST <br />RECEIVED <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Weaselskin Corp. <br />M-1986-148 <br />Weaselskin <br />JUN 2 7 2002 <br />Oivisian of Minerals and GeelogY <br />July 6, 2002 <br />$281.00 (Due on or before your anniversary date) <br />La Plata <br />According [o C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an_oQerator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected 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 [he year, if any. <br />Please attach vour revised written annual resort and annual report map to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Perrrtittee Contact: Beatrice F. Thurston <br />Permittee Name: Weaselskin Corp. <br />Address: 12995 U.S. Hwy. 550 <br />Durango, CO 81303 <br />Phone Number: (970) 247-9410 <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 Officer or Owner <br />Date - <br />~iT ~Sr~?-(t'tA~ Cc.aS~ l`3y ~>=dr, ~ZDO~ <br /> <br />.~D rrl~ NJ2.-H~ ~ UJdrN O<- 'J~tT r7LCi: SS <br />/2a a.~ ~ B a rro~ I~ A .:..;5 ~,Z 1] a.m +~srt C <br />e <br />1J.5>=. P2F. C/1+~Stirb 2DCK, $~c~quse i>-= S~ovs <br />M:~PERMITUTASTERDOCUMENTSNI-AF-01 (N /L~J~2'~ J~~bC~ N!? fdt D-7~RS LUt(„Z, (3C <br />~S -r ! +` TNt u(L' t.V lOt, rnJ s ~ C'1/-( <br /> <br />