2006-09-11_REPORT - M2001063

• Permit No: M2001063
• IBM Index Class Name: Report
• Doc Date: 9/11/2006
• Doc Name: Annual Fee/Report/Map
• From: Midas Mining Company Inc.
• To: DRMS
• 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:
n/ ANNUAL FEE and REPORT REQUEST
~/Midas Mining Company, Inc.
t/ M-2001-063
Ophir Lode
September 23, 2006
RECEIVED
SfP 11 ?006
~ivlsion of Recl
Mining and Sao j~h°""
~Y
$225.00 (Due on or before your anniversary date)
Hinsdale
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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 shah sdbmit tlse annuai fee, a report and map showing the extent of current disturbances to affected
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming yeaz, 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 your revised written annual report and annual resort moo 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: Wayne R. Giesy
Permittee Name: Midas Mining Company, Inc.
Address: P.O. Box 772
Philomath, OR 97370
Phone Number: [phone]
Fax Number: [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.
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Signature of orporate Officer, Owner, or esignee
S~>< s~ a.~~ ~
Date
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