2001-11-19_REPORT - M1999089

• Permit No: M1999089
• IBM Index Class Name: Report
• Doc Date: 11/19/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
iii iiiiiiiiiiiiiiii
999
ANNUAL FEE and REPORT REQUEST
Byron J. & LaLani R. Weathers
M-1999-089
Weathers Mine #1
November 18, 2001
RECEIVE®
NOV i g 1001
~i~iaion o) Minerals and GeolopY
$281.00 (Due on or before your anniversary date)
Yuma
According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-I 16, each year, on the anniversary date of the permit, an operator
- shall-submit tho-annual-fee-a-report-and map-showing -the extent-of-eurrent-disturbances to-affected land.--
reclama[ion accomplished to date and during [he preceding year, new disturbances that are anticipated to occur
during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attachyour revised written annual report and annual report map to this form. Please note that nu
adequately labeled map that clearly [lelineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Byron Weathers
Permittee Name: Byron J. & LaLani R. Weathers
Address: 11955 CR 37 ( ' n...n O
Yuma, CO 80759
Phone Number:
- i [phone]
- -
-
Fax Number: - -
_
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
/~l~~
Si a e of rporate Officer Owner
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Date ~~ _ ~~y _ 0~
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A1:IPERM ITNIASTERIXJCUM ENTSNI-AF-01