2011-02-22_REPORT - M1983011

• Permit No: M1983011
• IBM Index Class Name: REPORT
• Doc Date: 2/22/2011
• Doc Name: Annual Fee/Report/Map
• From: Jelen & Sons, Inc.
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

A'P *Re-r
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REOUEST
P
Y Jelen & Sons, Inc.
? M-1983-011
Willow Creek Mine
February 23, 2011
RFCF-I
? FEB 2 2 2011
? Division of Reclamation,
J Mining and SafetY
$259.00 (Due on or before your anniversary date)
Lake
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 report and annual report map 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 year's map 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: Kay Blecha
Permittee Name: Jelen & Son, Inc.
Address: P.O. Box 103
Castle Rock, CO 80104
Phone Number: 303-888-2507
Fax Number:
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If you have additional comments and/or information that should be provided to the Divisior4, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
17 Signature of Corporate Officer, Owner, or Designee
Z - zz - //
Date
COT)
FEB 2 2 2011
Division or Keuarrratror,,
and Safety
M. \PERMIIIMASTERDOCUMENTS/M-AF-02.DOC