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111111111Jill 1 � 37 4150 .&0 <br /> 999 DENVER <br /> OFFICE <br /> ANNUAL FEE and REPORT REQUEST RECEIVED <br /> PERMITTEE NAME: DGMC DEC 2 7 2000 <br /> PERM IT NO.: M-1986-076 <br /> Division of Minerals and Geology <br /> OPERATION NAME: Incas Mine <br /> ANNIVERSARY DATE: December 31,2000 <br /> jANNUAL FEE DUE: $450.00 (Due on or before your anniversary date) <br /> COUNTY: 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 <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 your revised written annual report and annual report man to this form. Please note that an <br /> adequately labeled map that clearly delineates and includes the above elentents inay suffice for a written <br /> report. <br /> Division records indicate the following pennittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: Robert W. Hill <br /> Permittee Name: DGMC <br /> Address: P.O. Box 96 <br /> Hesperus, CO 81326 <br /> Phone Number: (970) 946-3331 <br /> Fax Number: <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. WA-7CER- $A-MQt.Es <br /> Zen e+4. TAKE) ei.J 4Z/zS/'Oa <br /> W11-L l}[4r1f I2f S JtTS [MA/CdP cuF{E�J AaR�[i49[c. <br /> k'[rG. w t i� R tL c cAMA-71e•J / �ucrin p n <br /> Signature of Corporate Officer or Owner N o ME 15. /I(.ft A(Ai O fd 2 6 ctr� <br /> I2--23 __'� O Pf4r+r,,av3. 13EGt9,oJ [N JgPRtL t( � fAs+d <br /> Date Jtt-t oC7. IAJ Za-ol) OPf2r}?ia.us <br /> u✓ Icy S7t9K� IA) "M/) /tell eD m- A.S svc�) <br /> +0•S Pe ss[BLE F� 1_�d /A) /aCCCrWDE!L <br /> I M.IPERMITMASTERD000MENfS/M-AF-02.DOC <br />