Laserfiche WebLink
ANNUAL andRE ORT )ltE VEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />?t: <br />Harry Covey <br />-1988-081 <br />b/I:f- <br />RECEIVED <br />dUG I I zoos <br />Reclamation, <br />OPERATION NAME: Phil Sheridan Lode Division 1, Mining of and Reclama <br />ANNIVERSARY DATE: August 19, 2009 <br />ANNUAL FEE DUE: $$86.00 (Due on or before your anniversary date) <br />COUNTY: Boulder <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 current disturbances to affected <br />land, reclamation accomplished to date and during the precedingyear, new disturbances that are-anticipated-to 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 vear's map are necessarv, then no new map is reouired, 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 suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Harry Covey <br />Permittee Name: Harry Covey <br />Address: 479 County Road 83 <br />Boulder, CO 80302 <br />Phone Number: (303) 442-0657 <br />Fax Number: <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.l ?j <br />1?/v/? ? r <br />Signature of Corporate Officer, Owned, or Designee <br />rDate <br />M:IPERMIT WIAS TERDOCUMENTS/M-AF-02.DOC