2006-09-07_REPORT - M1987072

• Permit No: M1987072
• IBM Index Class Name: Report
• Doc Date: 9/7/2006
• Doc Name: Annual Fee/Report/Map
• From: Stanley J Conner
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Stanley J Conner
v M-1987-072
Lee No 2 Placer
September 26, 2006
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~YSEP 0 7 2006
'Division of Reclamation,
Minton and Safety
$225.00 (Due on or before your anniversary date)
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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 shall submit the annual fee, a report and map showing the extent of current disturbances to affected
]and, reclamafion accomplished to date and during the preceding year, new disturbances that_are anticipated to ___
occur during the upcoming yeaz, 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 includes the above elements may suffice for a written report.
Division records indicate the following permittee contact
changes:
Permittee Contact: Stanley J. Conner
Permittee Name: Stanley J Conner
Address: P.O. Box 102073
Denver, CO 80250-2073
Phone Number: [phone]
Fax Number:
information. Please verify make ece sary
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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.
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Signature of Co orate fficer, Owner, or Designee
Date
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