2001-02-02_REPORT - M1982090

• Permit No: M1982090
• IBM Index Class Name: Report
• Doc Date: 2/2/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

010
999
ANNUAL FEE and REPORT REOUEST RECEIVED
PERMITTEE NAME: Camp Bird Colorado, Inc. FEB 0 2 2001
PERMIT NO.: AA anaaoar
' Division of Minerals and Geology
OPERATION NAME: Camp Bird Mine
ANNIVERSARY DATE: December 7,2000
ANNUAL FEE DUE: $550.00(Due on or before your anniversary date)
COUNTY: Ouray
According to C.R.S. 34-32.5-1 16 or C.R.S. 34-32-1 16, 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
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 your revised written annual report and annual report map to this form. Please note that an
adequately labeled map than clearly delineates and includes the above elements may snJfrce for a wri[[err
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Scott A. Butters
e
Permittee Name: Camp Bird Colorado, Inc.
Address: P.O. Box 806
Salt Lake City, UT 84110
Phone Number: [phone]
Fax Number: [phone]
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.
aA aAAUZ l IiOSOFAN>
Signature of Corporate Officer or Owner
31 3A N 22 o i
Date
\ M.NERMINv1ASTERD000MENTSfM-AF-02 DOC