Laserfiche WebLink
l . .. <br />~; <br />~ .~ <br />RECEIVED <br />APR 1 6 2002 <br />Givision of Minerals and Geology ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />Yuma County <br />M-1999-047 <br />Adamson Bros. Mine <br />May 10, 2002 <br />$281.00 (Due on or before your anniversary date) <br />Yuma <br />APR 0 4 <br />~~-- <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 the 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 vour revised written annual report and annual report map to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Petmittee Contact: ~ Town <br />Permittee Name: <br />Address: <br />Yuma County <br />1310 S. Blake Si. <br />Wray, CO 80758 <br />Phone Number: (970) 332-5778 <br />Fax Number: (970) 332-3429 <br />Ql.~ / Lei r/°. <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 />~~~~ <br />Signature of Corporate Officer or Owner <br />'f~5-aa <br />Date <br />M iPERMrrN1ASTERD000MENTSVN-AF-01 <br />