REP35593

• Permit No: M1989044
• IBM Index Class Name: Report
• Doc Date: 5/12/2003
• Doc Name: Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
The Clare Corporation
M-1989-044
Twin Crk Campground
April 10, 2003
$281.00 (Due on or before your anniversary date)
Teller
RECEIVED
MAY 12 2003
Division of Minerals artd Deofogy
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 I
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-a~re anticipated to occur - I
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 note that an
adequately labeled map that clearly delineates and includes the above elements may suffrce for a x~ritten report.
`;~Fy;Division=records indicate the following permittee contact information. Please verify and make any necessary
• "'~' ,changes:
stF ,a:
;,;Pei~titteg`Contac;: Harold E. Clare, II
.t ,S~tia.a~-,
• -;P,etTmttee Name: The Clare Corporation
Address: P.O. Box 1
Florissant, CO 80816
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.
Signature of Corpo~r, Owner, o D gnee
Date
M:IPERMITUTASTERDOCUMENTSIM-AF-01