Laserfiche WebLink
~~ ' ~~ ~ <br />ANNUAL FEE and REPORT REQUEST <br />~~ it ;i ,y,i© <br />1-.-. <br />PERMITTEE NAME: Indian Creek Mining Corp ~PR <br />PERMIT NO.: ~PGI-1991-054 ~ ~ Z008 <br />~iv~sion o, htL,w~„~ <br />OPERATION NAME: Proffitt T ing and Saf~py on, <br />ANNIVERSARY DATE: May 29, 2008 <br />ANNUAL FEE DUE: $$86.00 (Due on or before your anniversary date) <br />COUNTY: II Saguache <br />=_ ~__According_to_C.R~:_3_4_32.S:LL6~r~.R.~34-32_116, each year. on the_anniversary date of the hermit, an_ _ <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <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 t fie date active operations ceased for the year, if any. <br />.Ga~C a~~a.;.~ vuur reviseu written annual report ana annual report man to this form The Annual <br />Report & Fee requirement is not m;et until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous year's 'map are necessary, then no new map is required provided that the <br />Operator shall state this in the Annual Report Please note that an adequately labeled map that clearly <br />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: Don Flickinger <br />Permittee Name: Indian Creek Mining Corp <br />Address: _ P.O. Box 350 <br />Kodiak, AK 99615 <br />Phone Number: (719) 655-2225 ', <br />Fax Number: <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 <br />enclosed. <br />~' ~ <br />.~- <br />Signature of Corporate Officer caner, or Designee <br />-~' S ~- v <br />Date <br />M:~PERMITUI4ASTERDOCUMENTS/M-AF-02.DOC <br />