Laserfiche WebLink
ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Blue Jet Mining, Inc. <br />M-1978-135-HR <br />Blue Jet Mine <br />September 9, 2002 <br />$225.00 (Due on or before your anniversary date) <br />Moffat <br />RECEIVED <br />SEP 0 9 Zpp1 <br />Division rif Minerals and Geology <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_shQwing_[he_ex[ent_of current_disturbances-to-affecteel---_ - <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 vour revised written annual report and annual report map to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since far a written <br />report. , <br />Division records indicate the following petmittee contact information. Please verify and make any necessary <br />changes: <br />Petmittee Contact: Orvie Zimmerman <br />Permittee Name: Blue Jet Mining, Inc. <br />Address: P.O. Box 181 <br /> Craig, CO 81626 <br />Phone-PFumber:- (970)-824=646 <br />Fax Number: (970) 824-8884 <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 ins[mctions are <br />enclosed. <br />~.~Q.. <br />Signature of Co rate Officer, Owner, or Designee <br />C-/ ~©~ <br />Date <br />M:~PERMIT~h1ASTERD000MENTS/M-AF-O? DOC <br />