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P~ ~. R~ <br /> ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME L~ <br />: Joel Fennern & M R Gydesen <br />PERMIT NO.: M-1987-143 ,/ <br />OPERATION NAME: Gold Links Mine <br />ANNIVERSARY DATE: July 13, 2008 <br />ANNUAL FEE DUE: $259.00 (Due on or before your anniversary date) <br />COUNTY: Gunnison <br />~~~~~~® <br />JUN 2 7 2008 ~/ <br />Division or reclamation, <br />11Aining andand Safety <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 showing the extent of c_urren_t_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 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. The Annual <br />Report & Fee requirement is not met 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 reauired. 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 since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: <br />Permittee Name: ~ ~ ~. (s.;~ l eSen. ~ a h er~ L~'~~Se~ <br />Address: t ~ ~ 02 ~~-.,`~ W~cc~s ty~, S'~-' <br />eaci~~ w,rr nnccc n~nn_ <br />, ~.~~ Tom.,.,., <br /> <br />Phone Number: q ZO -(~~ l - a,b ~O <br />Fax Number: ~ ~Z ~ ` ~ `~ ~ - ~ ~ ~' <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 />Signature of Co orate Offic/er, Owner, or Designee <br />~_ ~~~ 1 oE~ <br />Date <br />M:~PERMIT~MASTERDOCUMENTS/M-AF-02.DOC <br />