2004-09-07_REPORT - M1977296

• Permit No: M1977296
• IBM Index Class Name: Report
• Doc Date: 9/7/2004
• Doc Name: Annual Fee/Report/Map
• From: Umetco Minerals Corporation
• 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:
~~
ANNUAL FEE and REPORT REQUEST
Umetco Minerals Corporation
M-197-296
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Dirisian of h11na~~s~y;l±eu1{iA}'r
King Solomon -Delores Bench
September 1, 2004
$550.00 (Due on or before your anniversary date)
Montrose
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 yeaz, new disturbances that are anticipated to
occur 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 attach your revised written annual report and annual report mao to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Curtis O. Sealy Rahe Junee
Permittee Name: Umetco Minerals Corporation
Address: 2754 Compass Drive, Suite 280
Grand Junction, CO 81506
Phone Number: [phone] [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.
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Mines Manager
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Date
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