2007-03-05_REPORT - M1997098

• Permit No: M1997098
• IBM Index Class Name: Report
• Doc Date: 3/5/2007
• Doc Name: Annual Fee/Report/Map
• From: P C Management, Inc.
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

ANNUAL )~EE and REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
l P C Management, Inc.
~M-1997-098
Flag Creek Mine
March 30, 2007

iP1AR 0 5 2007
Division of Recw~ation,
`---Mining and 5afefy
$$688.00 (Due on or before your anniversary date)
Rio Blanco
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-£ee,-a-report-and-map-showing-the--extent-ef .curren+,-disturbances-to--affected-land,
reclamation accomplished to date and during the 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 attach vour revised written annual report and annual report map to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
map. If no new disturbances or reclamation have occurred during the previous year and no new chances to
the previous vear's map are necessarv. then no new map is required, provided that the Operator shall state
this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the
above elements may su]~ce for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
P ~~~ ee-~vec~ w~ Ka t~ .~ c Ga KJq,JE~ ~.e u ~-
Permittee Contact: r,H ~°^^u°~ xr^^~~ Pe f tK i 1' eC P~C ~ Ma Ha9t' ~r~ uP
C~rts~o~kei' i~Of f iS (okger kA~ aNy~~p to do uti1~
K OQ~fn SON _
Permittee Name:
Address: 422 E Vermijo, Ste 311
Colorado Springs, CO 80903
Phone Number:
Fax Number:
[phone]
[phone]

~ua~t~u ~f~arrti
t-f - z z E ~/P r tH f f o. S~e 3(~
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.
.
// °~
S' afore of Corporate Officer, Owner esignee
3/ /0 7
Date