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.~ _ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~~ <br />!~ ANNilAi, FF.F, and RF.PnRT RF,t7iiF.ST <br />~ JWeaselskin Corp. <br />1 / M-1986-148 <br />Weaselskin <br />July 6, 2006 <br />RECE14lE® <br />`JUN 0 92006 <br />/Uivision of Minerals and Canlody <br />$281.00 (Due on or before your anniversary date) <br />La Plata <br />_ _ Acc9rding_t2C.R.S._3.4-325_116__or.C.R.S.3.4-32-LL6, each yearron.the annive~sarydate.ofthe_permit, an,operater.. -.- - ^ <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding yeaz, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written anmral re`nrt and anmral report main to this form. The Annual Report <br />& Fee requirement is not met until we have received the following 3 components: fyg,~nnrr, and associated <br />map (All 3 are required regardless of the level of disturbance or absence of disturbance during the previous <br />year). Please note that an adequately labeled map that clearly delineates and includes the above elements may <br />suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: 13eatrice F. Thurston <br />Permittee Name: Weaselskin Corp. <br />Address: 12995 U.S. Hwy. 550 <br />Phone Number: <br />Fax Number: <br />Durango, CO 81303 <br />(970)247-9410 <br />(970)247-9410 <br />n <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 enclosed. <br />ignature of Corporate Officer, Owner, or Designee <br />fi/ G~nQ ~1 ~ z oo b <br />D <br />!Va ]~s'-t7r2aArtc~ ~~2,~b y~~ <br />k~ C 1a~G ~S - <br />r <br />c~ <br />