2009-09-09_REPORT - M1986102 - Laserfiche WebLink

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C)r KI PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DATE: ANNUAL FEE DUE: COUNTY: ANNUAL FEE and REPORT RE UEST B -Mining Company M-1986-102 Deep Creek Placer September 4, 2009 _U division of $323.00 (Due on or before your anniversary date) San Miguel 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-iate-and-during-the-preceding-year, -xew-disturbances. that are-enti6ipated-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 man. If no new disturbances or reclamation have occurred durine the previous year and no new chances to the previous year's may 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: Daniel L. Collins Permittee Name: B - Mining Company Address: 1417 S. Grandview Dr. Tempe, AZ 85281 Phone Number: (480) 894-6211 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 enclosed. T'__&2"? LZI, (?" ignature of orporate Officer, Owner, or Designee Date