2006-02-13_REPORT - M1977501UG ‎(4)‎

• Permit No: M1977501UG
• IBM Index Class Name: Report
• Doc Date: 2/13/2006
• Doc Name: Annual Fee/Report/Map
• From: Urralburu Mining Company
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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j/ ANNIlAi. FF,F, and RF.PnRT RF.niTF.ST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
/ Urralburu Mining Company
/ M-1977-501-UG
Marietta Mine
February 15,2006
RECEIVED
,i FEB 1 ~ 2006
Division of Minerals and Geology
$225.00 (Due on or before your anniversary date)
San Miguel
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
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 ynnr revised wriffen anm~al rennrt and annnat re,Pnrt main 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: Benedicto Urralburu
Permittee Name: Urralburu Mining Company
Address: 205 N. Willerup Ave.
Montrose, CO 81401
Phone Number: [phone]
Fax Number:
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.
Signature of Corporate Officer, Owner, or Designee
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Date
M:~PERMITMASTERDOCUMENTS/IN-AF-02. DOC