2006-05-25_REPORT - M1982075

• Permit No: M1982075
• IBM Index Class Name: Report
• Doc Date: 5/25/2006
• Doc Name: Annual Fee/Report/Map
• From: Alvin Mosch - Patricia Mosch
• To: DMG
• 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:
~~5
v~ANNiiAi, FF.F, and RF.PCIRT RF.OiiF,ST
Alvin Mosch -Patricia Mosch
(/M-1982-075
Phoenix Mine
June 14, 2006
RECE~n~ED
MAY 25 2006
Division of Minerals antl Gnoldpt
$225.00 (Due on or before your anniversary date)
Clear Creek
mom.
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 current disturbances to affected
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
-`occur' during lh~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 ynnr revised written annnal rennrt and annnal rennrt m ~n to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Alvin Mosch
Permittee Name: Alvin Mosch -Patricia Mosch
Address: Box 3236
Idaho Springs, CO 80452
__ Phone Number: _ [phone]
Fax Number:
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 Corporate Officer, Owne D se rorr wee
s-a.- o ~
Date
M:(PERMITMASTEADOCUMENTS/M-AFA2.D0(.