Laserfiche WebLink
ANNUAL FEE and4EPORT REQUEST <br />PERMITTEE NAME: -Weaselskin Corp. <br />PERMIT NO.: -M-1986-148 <br />OPERATION NAME: Weaselskin <br />ANNIVERSARY DATE: July 6, 2008 <br />ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date) <br />COUNTY: La Plata <br />jvtz) <br />Ri- r`h D <br />JUL 0 9 200g <br />4?i?saris? os r,e:C:?r1lc?ipy°d. <br />Mining and 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 operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamationn aecomp'iished-to-date-and-during-the-precedmg-year, new-distttrz a, ;l::at :,re antisiFat?d- «r? <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 />Please attach your revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous vear's map are necessarv, then no new map is reauired, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates an includes the <br />above elements may suffice for a written report. NO . PW"-? dI RkLIJ4-t- w o, 06114- <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Beatrice F. Thurston <br />?) o(i glas ') P T??y'S bv. <br />Permittee Name: Weaselskin Corp. <br />Address: 12995 U.S. Hwy. 550 <br />Durango, CO 81303 <br />Phone Number: (970) 247-9410 O <br />Fax Number: (970) 247-9410 <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 />M44= 0U-1W1W <br />Signatur f Corporate Officer, Owner, or Designee <br /> <br />Date