Laserfiche WebLink
ANNi1AI. FF,F, and RF,PORT RF.QiiF.ST <br />PERMITTEE NAME: Georgia Rubeck -Walt Rubeck <br />h1A~4 7 ~ 2Gc;5 <br />PERMIT NO.: M-2002-003 <br />OPERATION NAME: Topaz Mt. Gem Mine '' " <br />ANNIVERSARY DATE: March 26, 2005 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anuiversary date) <br />COUNTY: Park <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-±he-coming-year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written annnal reppft and a._, n _nnal rennrt m~ to this form. Please note that an <br />adequately labeled map 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 make any necessary <br />changes: <br />Permittee Contact: Walt Rubeck <br />Permittee Name: Georgia Rubeck -Walt Rubeck <br />Address; <br />Phone Number: <br />2010 Wold Ave. <br />Colorado Springs, CO 80909 <br />(719) 596-5492 <br />- Fax Nwnber: <br />.fiwA,o.C~2~~-~ ~lif/~ <br />~~~AA~~ ~~,~- o3~oy-os <br />.~w ~ -1,~J.,r GG ~ ~/i yi1 ~1c/~~ <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 />~. ,~ 6G~prAC <br />Signature of Co rate Office ,Owner, or Designee <br />~~~~ / 7 ~ 04.E <br />Date <br />M:~PERMI7UTASTERD000MENTS/M-AF-02.DOC <br />