2008-10-21_REPORT - M2004008

• Permit No: M2004008
• IBM Index Class Name: REPORT
• Doc Date: 10/21/2008
• Doc Name: Annual Fee/Report/Map
• From: Joseph Curtis Harden
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: ACS
• Media Type: D
• Archive: No

OC5
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANAL FEE an REPORT REQUEST
kir,
eph Curtis Harden
s
-2004-008
The Mountain Mining Claim
October 28, 2008
sJ
T 2 1 X008

$259.00 (Due on or before your anniversary date)
Clear Creek
0JL
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an
-operator-shall-submit-the-annual-fee,-a-report-and-Mffp-showing then extent of current "disturbances to affected
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual report and annual report map to this form. The Annual
Report & Fee requirement is not met until we have received the following components: fee, report, and
associated map If no new disturbances or reclamation have occurred during the previous year and no
new changes to the previous year's map are necessary, then no new map is required, provided that the
Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly
delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Joseph C. Harden
Permittee Name: Joseph Curtis Harden
Address: P.O. Box 1207
-r" At is I.A.- 'Co i.v-r `v .0 X; l G NN 11-5 V
4 /I?n?sS i S 7 ooo ovet'A40a hg,4P
Idaho Springs, CO 80452 of a S h oy/ r-4 3 G C$
Phone Number: [phone]
Fax Number:
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
enclo d.
ature of Corporate Officer, Owner, or Designee
Iv - I I - 2Gy ?
Date
M:PERMITIMASTERDOCUMENTS/M-AF-02.DOC