2008-11-17_REPORT - M1977417 - Laserfiche WebLink

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fvp mot- R-PT ANNUAL FEE and REPORT REOUEST PERMITTEE NAME: Sutherland Drilling PERMIT NO.: M-1977-417 OPERATION NAME: Sego Mine ANNIVERSARY DATE: November 1, 2008 ANNUAL FEE DUE: $259.00 (Due on or before your anniversary date) COUNTY: San Miguel F1 2003 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 - ----operato"hall-submit the annual-fee-,-a-report and map-showing-the-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 man 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 vear's map are necessarv. then no new man 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: Bob Sutherland Permittee Name: Sutherland Drilling Address: P.O. Box 889 Nucla, CO 81424 Phone Number: (970) 864-7662 Fax Number: "717 gd 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. Sign ture of Corporate Officer, Owner, or Designee I Dg Date M:\PERMITIMASTERDOCUMENTS/M-AF-02.DOC