REP44658

• Permit No: M1982020
• IBM Index Class Name: Report
• Doc Date: 5/15/2002
• Doc Name: 2002 Annual Report
• From: Melvin T Gydesen
• 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
Melvin T Gydesen
M-1982-020
Lucky Strike Lode
May 25, 2002
$225.00 (Due on or before your anniversary date)
Gunnison
RECE~~<:~ED
MAY 15 ~~~?
Division of Minerals and Ecology
According to C.R.S. 34-32,5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the
operarn~ <hatj~ubmit-the-annual-fee,-a-rcport-and-map'showing tl5e ez[en't of current disturbances to affected
land, reclamation accomplished to date and during the preceding year, new diswrbances 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 man to this form. Please note that an
adequately labeled map that clearly delineates and inclades the above elements may suffice for a written
report. ~t ,~ .~ °~~,, i1 ~ ~ ~ A /) ~yr.~
Division records indicate the followin permit/`tie~e--co(n~/ta-cCtlxi/nformation. Please verifyeand',cm/ake any necessary
changes:
Permittee Contact: Melvin R. Gydesen
Permittee Name: Melvin T Gydesen
Address: 229 CR 11, Space No. 21
Gunnison, CO 81230
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 i[ to this form along with your written report and map. Annual Report instructions are
enclosed. n ~ J/J~' Ld','D~/1~,~
Signature of Corporate Officer or Owner ( Z
Dale
M:~PERM ITNIASTERDOCUMENTS/M-AF-02.DOC