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I <br /> • III IIIIIIIIIIIIIIII • <br /> 999 <br /> ANNUAL FEE and REPORT REQUEST <br /> PERMITTEENAME: Weaselskin Corp. R4CEIV D <br /> PERMIT NO.: M-1986-148 JUL Q § 20tol <br /> OPERATION NAME: Weaselskin Diuision of Minerals and Geology <br /> ANNIVERSARY DATE: July 6, 2001 <br /> ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br /> COUNTY: <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 tliat are anticipated to <br /> occur during the upcoming year, reclamation that will be performed during the coming yQar, the dates for the <br /> beginning of active operations, and the date active operations ceased for the year, if any. <br /> Please attach your revised written annual report and annual report map to this foI Please note that an <br /> adequately labeled reap that clearly delineates and includes the above elements may since for a written <br /> report. <br /> Division records indicate the following permittee contact information. Please verify and `Hake any necessary <br /> changes: CL�✓ <br /> Permittee Contact: Beatrice F.Thurston 't� -:Rae) I <br /> Permittee Name: Weaselskin Corp. �tlo a C� 11�e-F ��u�•r 7F�L l/� <br /> I Address: 12995 U.S. Hwy. 550 <br /> !' <br /> Durango, CO 81303 ` <br /> Phone Number: (970) 247-9410 4"71 <br /> Fax Number: (g7D)a1(7 -134 ID <br /> �s g� N4f or ?p <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 Rep rt instructions are <br /> enclosed. �'1�' re` '� o-t.L 6d �c. <br /> .Gc<- <br /> Signature of Corporate Officer or Owner ' / <br /> trJt i <br /> D <br /> M:TERM IT%IASTERDOCUAtENTSNt-AF-01 <br />