Laserfiche WebLink
2019.10-07 11:22 SUTHERLAND 9708647980 >> P 3/3 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />.? -?"- RP-r <br />ANNUAL FEE and REPORT REQUEST <br />?j? <br />?/ Sutherland Drilling <br />M-1977-417 <br />Sego Mine <br />November 1, 2010 <br />$518.00 (Due on or before your anniversary date) <br />San Miguel <br /> <br /> <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, ecramation accomplished-to date and during the preceding year, new disturbances that are anticipated to -- <br />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 your 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 />usociated map If no new disturbances or reclamation have occurred durine the previous year and no <br />new changes to the previous year's may are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately laheled 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: Bob Sutherland <br />Permittee Name: Sutherland Drilling <br />Address: P.O. Box 889 <br />Nucla, CO 81424 <br />Phone Number: (970) 864-7662 <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. <br />V-47? - <br />Signature of Corporate Of icer, Owner, or Designee <br />/© _ t +-- i0 <br />Date <br />M:IPERMn1M AI,TERDOC.UMENTS/M-AF-02.DOC