2006-09-08_REPORT - M1978135HR

• Permit No: M1978135HR
• IBM Index Class Name: Report
• Doc Date: 9/8/2006
• Doc Name: Annual Fee/Report/Map
• From: Blue Jet Mining Inc.
• To: DMRS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Blue Jet Mining, Inc.
~//M-I978-135-HR
1/ Blue Jet Mine
September 9, 2006
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~~is SfP 0 g 2006
Mi%9 aRd Sa e~yion
$225.00 (Due on or before your anniversary date)
Moffat
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
operator shall submit the annual fee, a report and map showing the extent of curcent disturbances to affected
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming year, recfamation that will be performed during the coming year, the~ates for the -
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual resort and annual resort map to this form. Please note that an
adequately labeled map that clearly delineates 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: Orvie Zimmerman
Permittee Name: Blue Jet Mining, Inc.
Address: P.O. Box 181
Craig, CO 81626
Phone Number:
Fax Number:
[phone]
[phone]
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.
Signature of rporate Officer, Owner, or Designee
/~/~ ~
Date
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