Laserfiche WebLink
<br />ANNriAi, FF.F, and RF,P(lRT RF.niTFST RECEIVED <br />PERMITTEE NAME: MWCA, Inc. FEB 0 4 2004 <br />PERMIT NO.: M-1977-227 Division •f Minerals and Geology <br />OPERATION NAME: Mesita Hill Pit <br />ANNIVERSARY DATE: February 9, 2004 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Costilla <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 operator <br />sI-iall sulimit-the annual-fee,-a-report-and-map-showing-the-extent_of_current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated [o occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Ptease attach ynnr revised written annnal report and annnal report man to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Robert H. Buckham <br />Permittee Name: MWCA, Inc. <br />Address: 6500 Mineral Dr., #200 <br />Coeur d'Alene, ID 83815-9408 <br />Phone Number: (208) 769-4100 <br />Fax Number: (208) 769-4107 <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 enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />ai3 <br />Date <br />M:~PERMITN1ASTERD000MENTSU~f-AF-01 <br />