2003-09-08_REPORT - M1981185

• Permit No: M1981185
• IBM Index Class Name: Report
• Doc Date: 9/8/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

.r
RECEI~lE' '~
SEP 1 1 2003
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY;
ANNiiAI, d+,F~.eai+el~i~TnRbliL`F~,RFi~iiF.CT
Shalako International Inc
M-1981-185
May Day Mine
September 5, 2003
~~~-~ # 5993
~aaS,~
Received
~~ ~; ~
avisw~ °~tnerak 3 ~Geolo9Y
$225.00 (Due on or before your anniversary date)
La Plata
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 '
operaro~ shall-su6rriit-foe annual-fee, a repor[ ana map "showing [fie 'ex[en[ or currenf-d[stu ances ot-~ie'cted
land, reclamation accomplished to date and during the preceding year, new disturbances 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 y~ir revised written annual rennrt end anmeal rennrt m ~n 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: John H. Ferguson
Permittee Name: Shalako International Inc
Address:
Phone Number:
Fax Number:
If u ha
P.O. Box 2030
Durango, CO 81302
[phone]
attach it to this form al
al'to~ ~4 R- Z27y'
mation that should be provided to the Division, please provide it
your written report and map. Annual Report instructions are
~`
afar f Corporate O i er, Owner, or Designee
03
Date
M:NERMITUTASTERDOCUMENTS/M-AF-02.DOC