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<br />FiECElVED <br />JUN 2 6 2003 <br />Division of Minerals and Geology <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Weaselskin Corp. <br />M-1986-148 <br />Weaselskin <br />July 6, 2003 <br />$281.00 (Due on or before your anniversary date) <br />La Plata <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 operator <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-year,-new-distarbances-that-are anticipated-to accttr <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 your revised written annual rennrt and annual re nn rt ma~M this form. Please not¢ that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice far a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Beatrice F. Thurston <br />Permittee Name: Weaselskin Corp. <br />Address: 12995 U.S. Hwy. 550 <br />Durango, CO 81303 <br />Phone Number: (970) 247-9410 <br />Fax Number: C a„tp~ ~ti~ _ pl,~-~ <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 />R-aLT.Kc. ~ / I'LL4d ~l ~~`-~C , / /moo <br />. ignature of Corporate Officer, Owner, 04 Designee 1( <br />~_ ~ 3 z.oo3 <br />Date <br />~ D YT't ~„~, ~-6 Aral v,'7~tP <br />,2~„a~- y~r~ <br />M'.W ERM17V.7ASTERD000MENTSWi-AF-01 <br />