Laserfiche WebLink
<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Stanley J Conner <br />M-1987-072 <br />Lee No 2 Placer <br />September 26, 2003 <br />RECEIVE <br />SEP ~ ~ ~ <br />oislsion of Minerals and CeologY <br />$225.00 (Due on or before your anniversary date) <br />Gilpin <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 to 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 the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please atfachymrr revised written anmral report and annual re nn rt man 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 />Permittee Contact: Stanley J. Conner <br />Permittee Name: <br />Address: <br />Stanley J Conner <br />P.O. Box 102073 <br />Denver. CO 80250-2073 <br />Phone Number: (303) 722-9095 <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 <br />enclosed. <br />Signature of C oa e Officer, Owner, or Designee <br />D~~Q~~ <br />RECEIVED <br />SEP 1 0 2003 <br />Division of Minerals and Geology <br />M:\PERMITVNASTERDOCUMENTS/M-AF-02. DOC <br />