2008-12-29_REPORT - M1986076 - Laserfiche WebLink

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ANNU FEE and REPORT REQUEST PERIVIITTEE NAME: DGMC PERMIT NO.: A-1986-076 OPERATION NAME: Incas Mine ANNIVERSARY DATE: December 31, 2008 62 /Cl L31q F??? ,F .9 ANNUAL FEE DUE: $518.00 (Due on or before your anniversary date) COUNTY: La Plata 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 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 rermrt and annual report may 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 now changes to the previous year's map are necessary, then no new may 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: Jim Bender Permittee Name: Address: DGMC 5529 US Hwy. 64 Farmington, NM 87401 Phone Number: (505) 325-4065 _ Fax Number: (50&)4 .U22 C?.S `" J V O 5 If you have additional comments and/or information that should be provided to the Division, please provide it below or-ttach it to this form along with your written report and map. Annual Report instructions are '9;16aure of Corporate Officer, Owner, or Designee Date